Northeast Community Clinic

NPI #1043725583 in Harbor City, California

Provider Information

NPI Number
1043725583
Entity Type
Organization
Organization Name
Northeast Community Clinic
Subpart
Yes (part of a larger organization)
Parent Organization
NORTHEAST COMMUNITY CLINIC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Dec 6, 2017
Last Updated
Oct 15, 2021

Practice Location

Address
1403 LOMITA BLVD STE 103
ZIP Code
90710-2084
Phone
(310) 784-1800

Authorized Official

Name
CHRISTOPHER TAK LAU, MD
Title
EXECUTIVE DIRECTOR
Phone
(626) 457-6900

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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