Northeast Community Clinic
NPI #1962050120 in Hawthorne, California
Provider Information
- NPI Number
- 1962050120
- Entity Type
- Organization
- Organization Name
- Northeast Community Clinic
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Aug 30, 2019
- Last Updated
- Oct 15, 2021
Practice Location
- Address
- 4455 W 117TH ST STE 200
- City
- Hawthorne
- State
- California
- ZIP Code
- 90250-2240
- Phone
- (310) 219-2000
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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