Organization
THE LOS ANGELES FREE CLINIC
Active
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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