| Northeast Community Clinic | |
|
4129 Gage Ave Bell CA 90201-1128 | |
| (323) 771-8400 | |
| (323) 771-8750 |
| Full Name | Northeast Community Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 4129 Gage Ave, Bell, California |
| Authorized Official Name and Position | Christopher Tak Lau (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6264576900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Community Clinic 2550 W Main St Ste 301 Alhambra CA 91801-7003 Ph: (626) 457-6900 | Northeast Community Clinic 4129 Gage Ave Bell CA 90201-1128 Ph: (323) 771-8400 |
| NPI Number | 1366957508 |
|---|---|
| Provider Enumeration Date | 12/11/2017 |
| Last Update Date | 10/15/2021 |
| Medicare PECOS PAC ID | 5193710275 |
|---|---|
| Medicare Enrollment ID | O20180124000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366957508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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