Organization
ST. JOHNS COMMUNITY HEALTH
Active
Other names
St. John's Well Child and Family Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA SOCORRO GENIE (EXECUTIVE ASSISTANT)
(323) 541-1600
Entity
Organization
Contact information
Practice address
1321 E. 1ST STREET, LOS ANGELES, CA 90033-9003
(323) 541-1600
(323) 541-1661
Mailing address
808 W 58TH ST, LOS ANGELES, CA 90037-3632
(323) 541-1600
(323) 541-1661
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/02/2022
Last updated
02/13/2024
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