| The Childrens Clinic 'serving Children And Their Families' | |
|
1500 E Anaheim St Ste 100 Long Beach CA 90813-4051 | |
| (562) 277-9400 | |
| (562) 216-6198 |
| Full Name | The Childrens Clinic 'serving Children And Their Families' |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1500 E Anaheim St Ste 100, Long Beach, California |
| Authorized Official Name and Position | Elisa Nicholas (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5622643551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Childrens Clinic 'serving Children And Their Families' 701 E 28th St Ste 200 Long Beach CA 90806-2784 Ph: (562) 264-3114 | The Childrens Clinic 'serving Children And Their Families' 1500 E Anaheim St Ste 100 Long Beach CA 90813-4051 Ph: (562) 277-9400 |
| NPI Number | 1861958829 |
|---|---|
| Provider Enumeration Date | 02/14/2019 |
| Last Update Date | 04/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861958829 | 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 |
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