Organization
NORTHEAST COMMUNITY CLINIC
Active
Parent organization
NORTHEAST COMMUNITY CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHEAST COMMUNITY CLINIC
Authorized official
CHRISTOPHER TAK LAU MD (EXECUTIVE DIRECTOR)
(626) 457-6900
Entity
Organization
Contact information
Practice address
617 W MANCHESTER AVE, LOS ANGELES, CA 90044-5718
(323) 750-9715
Mailing address
2550 W MAIN ST STE 301, ALHAMBRA, CA 91801-7003
(626) 457-6900
(626) 457-5022
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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