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Northeast Community Clinic
Federally Qualified Health Center (FQHC) in Hawthorne, California
NPI 1962050120

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 Hawthorne, CA. The NPI Number for Northeast Community Clinic is 1962050120 and holds a License No. (California).

The current practice location address for Northeast Community Clinic is 4455 W 117Th St Ste 200, Hawthorne, CA and can be reached out via phone at 310-219-2000 and via fax at 310-219-2001.

Location: 4455 W 117Th St Ste 200, Hawthorne, CA, 91801-7003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962050120
Provider Name
Northeast Community Clinic
Credential
Provider Entity Type
Organization
Address
4455 W 117Th St Ste 200, Hawthorne, CA, 91801-7003
Phone Number
310-219-2000
Fax Number
310-219-2001
Provider Enumeration Date
08/30/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4455 W 117Th St Ste 200
City
Hawthorne
State
California
Zip
90250-2240
Phone Number
310-219-2000
Fax Number
310-219-2001
person
Provider Business Mailing Address Details
Address
4455 W 117Th St Ste 200
City
Hawthorne
State
California
Zip
90250-2240
Phone Number
310-219-2000
Fax Number
310-219-2001
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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