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
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