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Northeast Community Clinic
Federally Qualified Health Center (FQHC) in Wilmington, California
NPI 1700097540

Northeast Community Clinic is a Federally Qualified Health Center (FQHC) based in Alhambra, CA and is specialized in Federally Qualified Health Center (FQHC). Northeast Community Clinic practices in Wilmington, CA. The NPI Number for Northeast Community Clinic is 1700097540 and holds a License No. (California).

The current practice location address for Northeast Community Clinic is 200 E Anaheim St, Wilmington, CA and can be reached out via phone at 310-522-8700.

Location: 200 E Anaheim St, Wilmington, CA, 91801-1694
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700097540
Provider Name
Northeast Community Clinic
Credential
Provider Entity Type
Organization
Address
200 E Anaheim St, Wilmington, CA, 91801-1694
Phone Number
310-522-8700
Fax Number
Provider Enumeration Date
05/24/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
CMM71121F 05 CA
institution
Provider Business Practice Location Address Details
Address
200 E Anaheim St
City
Wilmington
State
California
Zip
90744
Phone Number
310-522-8700
Fax Number
person
Provider Business Mailing Address Details
Address
200 E Anaheim St
City
Wilmington
State
California
Zip
90744
Phone Number
310-522-8700
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
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