Organization
THE LOS ANGELES FREE CLINIC
Active
Other names
Saban Community Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MURIEL NOUWEZEM (CHIEF EXECUTIVE OFFICER)
(323) 337-1707
Entity
Organization
Contact information
Practice address
6636 SELMA AVE, LOS ANGELES, CA 90028-7115
(323) 653-1990
Mailing address
8405 BEVERLY BLVD, LOS ANGELES, CA 90048-3401
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
06/09/2021
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