Organization
ST. JOHNS COMMUNITY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA SOCORRO GENIE (EXECUTIVE PROJECT DIRECTOR)
(323) 541-1600
Entity
Organization
Contact information
Practice address
1500 N WATERMAN AVE, SAN BERNARDINO, CA 92404-5111
(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
05/24/2023
Last updated
04/30/2024
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