Organization
GOOD NEIGHBOR CLINIC FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL DAVIDSON (ADMINISTRATOR)
(323) 298-1668
Entity
Organization
Contact information
Practice address
4300 CRENSHAW BLVD, LOS ANGELES, CA 90008-4902
(323) 298-1668
(323) 298-0458
Mailing address
4300 CRENSHAW BLVD, LOS ANGELES, CA 90008-4902
(323) 298-1668
(323) 298-0458
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
—
—
207Q00000X
Family Medicine Physician
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
251300000X
Local Education Agency (LEA)
—
—
405300000X
Prevention Professional
Primary
—
—
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up