| South Gate Community Clinic | |
|
5720 Imperial Hwy Suite N-o South Gate CA 90280-7518 | |
| (562) 250-3100 | |
| Not Available |
| Full Name | South Gate Community Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 5720 Imperial Hwy, South Gate, California |
| Authorized Official Name and Position | Thomas Tweh (CEO) |
| Authorized Official Contact | 3237761500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Gate Community Clinic 24404 Vermont Ave Ste 201 Harbor City CA 90710-2321 Ph: (323) 776-1500 | South Gate Community Clinic 5720 Imperial Hwy Suite N-o South Gate CA 90280-7518 Ph: (562) 250-3100 |
| NPI Number | 1801138698 |
|---|---|
| Provider Enumeration Date | 03/20/2013 |
| Last Update Date | 03/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801138698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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