Organization
THE CHILDRENS CLINIC 'SERVING CHILDREN AND THEIR FAMILIES'
Active
Organization
THE CHILDRENS CLINIC 'SERVING CHILDREN AND THEIR FAMILIES'
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISA NICHOLAS MD (CHIEF EXECUTIVE OFFICER)
(562) 264-3551
Entity
Organization
Contact information
Practice address
1500 E ANAHEIM ST STE 100, LONG BEACH, CA 90813-4051
(562) 277-9400
(562) 216-6198
Mailing address
701 E 28TH ST STE 200, LONG BEACH, CA 90806-2784
(562) 264-3114
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/14/2019
Last updated
04/16/2024
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