| The Children's Clinic, Serving Children And Their Families | |
|
455 E Columbia St Ste 201 Long Beach CA 90806-1620 | |
| (562) 933-0400 | |
| (562) 933-0415 |
| Full Name | The Children's Clinic, Serving Children And Their Families |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 455 E Columbia St Ste 201, Long Beach, California |
| Authorized Official Name and Position | Jina Lawler (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 5622643985 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Children's Clinic, Serving Children And Their Families 701 E 28th St Ste 200 Long Beach CA 90806-2784 Ph: (562) 264-3985 | The Children's Clinic, Serving Children And Their Families 455 E Columbia St Ste 201 Long Beach CA 90806-1620 Ph: (562) 933-0400 |
| NPI Number | 1710164702 |
|---|---|
| Provider Enumeration Date | 01/22/2008 |
| Last Update Date | 05/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710164702 | NPI | - | NPPES |
| HAP11466F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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