Organization
THE CHILDREN'S CLINIC, SERVING CHILDREN AND THEIR FAMILIES
Active
Organization
THE CHILDREN'S CLINIC, SERVING CHILDREN AND THEIR FAMILIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JINA LAWLER MSW (CHIEF OPERATIONS OFFICER)
(562) 264-3985
Entity
Organization
Contact information
Practice address
455 E COLUMBIA ST STE 201, LONG BEACH, CA 90806-1620
(562) 933-0400
(562) 933-0415
Mailing address
701 E 28TH ST STE 200, LONG BEACH, CA 90806-2784
(562) 264-3985
(562) 216-6197
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HAP11466F
—
CA
Enumeration date
01/22/2008
Last updated
05/02/2023
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