| The Children's Clinic Family Health Center Roosevelt | |
|
1574 Linden Ave Long Beach CA 90813-2032 | |
| (562) 264-3101 | |
| (562) 216-6191 |
| Full Name | The Children's Clinic Family Health Center Roosevelt |
|---|---|
| Speciality | Clinic/Center |
| Location | 1574 Linden Ave, Long Beach, California |
| Authorized Official Name and Position | Jina L. Lawler (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 5622643985 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Children's Clinic Family Health Center Roosevelt 701 E 28th St Suite 200 Long Beach CA 90806-2759 Ph: (562) 264-3985 | The Children's Clinic Family Health Center Roosevelt 1574 Linden Ave Long Beach CA 90813-2032 Ph: (562) 264-3101 |
| NPI Number | 1851775795 |
|---|---|
| Provider Enumeration Date | 07/09/2015 |
| Last Update Date | 05/02/2023 |
| Medicare PECOS PAC ID | 3870544919 |
|---|---|
| Medicare Enrollment ID | O20161219002834 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851775795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (California) | Primary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Secondary |
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