| St. Johns Community Health | |
|
1000 W. 50th St Los Angeles CA 90037 | |
| (323) 541-1411 | |
| (323) 541-1661 |
| Full Name | St. Johns Community Health |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1000 W. 50th St, Los Angeles, California |
| Authorized Official Name and Position | Maria Socorro Genie (EXECUTIVE PROJECT DIRECTOR) |
| Authorized Official Contact | 3235411600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Johns Community Health 808 W 58th St Los Angeles CA 90037-3632 Ph: (323) 541-1600 | St. Johns Community Health 1000 W. 50th St Los Angeles CA 90037 Ph: (323) 541-1411 |
| NPI Number | 1548764392 |
|---|---|
| Provider Enumeration Date | 03/19/2018 |
| Last Update Date | 02/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548764392 | NPI | - | NPPES |
| 1861893844 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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