Whalio Doctors

NPI 1003068206

St. Johns Community Health

Organisation Federally Qualified Health Center (FQHC) Los Angeles, CA

Practice location

Address
6505 8th Ave, Los Angeles, CA 90043-4313
Phone
(323) 541-1600
Fax
(323) 541-1665
Mailing address
808 W 58th St, Los Angeles, CA 90037-3632

Authorised official

Name
James Mangia
Title
President, Ceo
Phone
(323) 541-1600

Registered specialties (6)

Federally Qualified Health Center (FQHC) Primary
Ambulatory Health Care Facilities Taxonomy 261QF0400X
Case Manager/Care Coordinator
Other Service Providers Taxonomy 171M00000X
Contractor
Other Service Providers Taxonomy 171W00000X
Case Management Agency
Agencies Taxonomy 251B00000X
Supports Brokerage Agency
Agencies Taxonomy 251X00000X
Community Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QC1500X

Registry record

NPI
1003068206
Entity type
Organization
NPI issued
21 Oct 2008
Record last updated
12 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.