Organization
THE CHILDRENS CLINIC 'SERVING CHILDREN AND THEIR FAMILIES'
Active
Other names
TCC at the LB Multi-Service Center for the Homeless
Organization subpart
No
Provider details
NPI number
Authorized official
JINA L. LAWLER MSW (CHIEF OPERATIONS OFFICER)
(562) 264-3985
Entity
Organization
Contact information
Practice address
1301 W 12TH ST, LONG BEACH, CA 90813-2720
(562) 264-4695
(562) 264-4273
Mailing address
701 E 28TH ST, SUITE 200, LONG BEACH, CA 90806-2759
(562) 264-3985
(562) 216-6197
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
960000104
CA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC11466F
—
CA
Enumeration date
02/20/2007
Last updated
05/02/2023
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