Organization
NORTHEAST COMMUNITY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER TAK LAU MD (EXECUTIVE DIRECTOR)
(626) 457-6900
Entity
Organization
Contact information
Practice address
4455 W 117TH ST STE 300, HAWTHORNE, CA 90250-2240
(310) 645-0444
(310) 978-0599
Mailing address
2550 W MAIN ST, SUITE 301, ALHAMBRA, CA 91801-1694
(626) 457-6900
(626) 457-5022
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/17/2009
Last updated
10/15/2021
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