Livingstone Community Development Corporation
NPI #1952662686 in Stanton, California
Provider Information
- NPI Number
- 1952662686
- Entity Type
- Organization
- Organization Name
- Livingstone Community Development Corporation
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- May 29, 2012
- Last Updated
- Jun 20, 2020
Practice Location
- Address
- 12362 BEACH BLVD STE 10
- City
- Stanton
- State
- California
- ZIP Code
- 90680-3944
- Phone
- (714) 248-9500
Authorized Official
- Name
- DR. KYUNG I. PARK, MD
- Title
- CEO
- Phone
- (714) 248-9500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Community Health — Community Health |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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| Wayne W Kim, D.O. |
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| Central City Community Health Center INC | |
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