| Livingstone Community Health Clinic | |
|
12362 Beach Blvd Ste 10 Stanton CA 90680-3944 | |
| (714) 248-9500 | |
| (714) 622-4943 |
| Full Name | Livingstone Community Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 12362 Beach Blvd Ste 10, Stanton, California |
| Authorized Official Name and Position | Kyung I. Park (CEO) |
| Authorized Official Contact | 7142489500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Livingstone Community Health Clinic 12362 Beach Blvd Ste 10 Stanton CA 90680-3944 Ph: (714) 248-9500 | Livingstone Community Health Clinic 12362 Beach Blvd Ste 10 Stanton CA 90680-3944 Ph: (714) 248-9500 |
| NPI Number | 1952662686 |
|---|---|
| Provider Enumeration Date | 05/29/2012 |
| Last Update Date | 06/20/2020 |
| Medicare PECOS PAC ID | 9931323706 |
|---|---|
| Medicare Enrollment ID | O20140724002386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952662686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Kyung I Park |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942210570 PECOS PAC ID: 4486549656 Enrollment ID: I20040217000551 |
| Provider Name | Michael C Bang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366571309 PECOS PAC ID: 7012981251 Enrollment ID: I20040823001430 |
| Provider Name | Clarke R Lew |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194768077 PECOS PAC ID: 6901864719 Enrollment ID: I20041227000736 |
| Provider Name | Inil L Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942395983 PECOS PAC ID: 1951323013 Enrollment ID: I20060103000775 |
| Provider Name | Avni Pandya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417078999 PECOS PAC ID: 9537248646 Enrollment ID: I20111101000086 |
| Provider Name | Nicholas S C Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194732347 PECOS PAC ID: 2668617978 Enrollment ID: I20130314000143 |
| Provider Name | Kathryn Han Koo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356821060 PECOS PAC ID: 3274890181 Enrollment ID: I20181025001874 |
| Provider Name | Hyehyun J Park |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679097166 PECOS PAC ID: 3274957741 Enrollment ID: I20200717000588 |
| Provider Name | Collin Sakae Yamaka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508517517 PECOS PAC ID: 8123410248 Enrollment ID: I20220124001556 |
| Provider Name | Wayne W Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619987054 PECOS PAC ID: 1557335387 Enrollment ID: I20220928002700 |
| Provider Name | Tae Yoon Won |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356035653 PECOS PAC ID: 5799145678 Enrollment ID: I20230724004056 |
| Provider Name | Anna Heeyoung Jang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184340333 PECOS PAC ID: 8426402314 Enrollment ID: I20230926003536 |
Advanced Hyperbarics Rx Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7499 Cerritos Ave, Stanton, CA 90680 Phone: 714-527-4000 Fax: 714-527-4002 | |
Central City Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12116 Beach Blvd, Stanton, CA 90680 Phone: 714-898-2222 Fax: 714-894-9865 | |
Pueblo Medical Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8045 Cerritos Ave, Stanton, CA 90680 Phone: 714-828-2444 Fax: 714-816-0529 | |
Us Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12679 Beach Blvd, Stanton, CA 90680 Phone: 714-379-8400 | |
Life Hyperbarics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7499 Cerritos Ave, Stanton, CA 90680 Phone: 714-527-4000 Fax: 714-710-8287 | |
Dean Tran, D.o., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11418 1/2 Renaissance Way, Stanton, CA 90680 Phone: 714-606-3502 | |
Stacey Qt Le, Od Professional Optometry Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7038 Katella Ave, Stanton, CA 90680 Phone: 714-895-4899 |