THE LOS ANGELES FREE CLINIC (NPI# 1235271065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235271065 |
| Entity Type | Organization |
| Organization Name | THE LOS ANGELES FREE CLINIC |
| Other Organization Name | SABAN COMMUNITY CLINIC |
| Practice Address |
6043 Hollywood Blvd Los Angeles CA 90028-5411 |
| Practice Telephone | 3236538622 |
| Mailing Telephone | 3236538622 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2013-08-22 |
| Authorized Official Name | MR. JEFFREY BUJER (CO-CEO) |
| Authorized Official Telephone | 3236538622 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
960000818 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BCP70654F | 05 | |
| CA | HAP70701F | 05 | |
| CA | BCP70701F | 05 | |
| CA | FHC70701F | 05 | |
| CA | HAP70654F | 05 | |
| CA | CMM70945F | 05 | |
| CA | EAP00005F | 05 | |
| CA | FHC70654F | 05 |
| Other Name | Type Code |
|---|---|
| Saban Community Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619471802 | The Los Angeles Free Clinic | Clinic/Center | 137 N Virgil Ave, Los Angeles, CA 90004-4811 | 2018-03-21 |
| 1669998845 | The Los Angeles Free Clinic | Pharmacy | 8405 Beverly Blvd, Los Angeles, CA 90048-3401 | 2017-08-18 |
| 1558740852 | The Los Angeles Free Clinic | Pharmacy | 5205 Melrose Ave, Los Angeles, CA 90038-3144 | 2015-05-20 |
| 1578822771 | The Los Angeles Free Clinic | Clinic/Center | 8405 Beverly Blvd, Los Angeles, CA 90048-3476 | 2012-05-08 |
| 1922367127 | The Los Angeles Free Clinic | Clinic/Center | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2012-05-08 |
| 1740549948 | The Los Angeles Free Clinic | Clinic/Center | 5205 Melrose Ave, Los Angeles, CA 90038-3144 | 2012-05-08 |
| 1619233996 | The Los Angeles Free Clinic | Clinic/Center | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2012-04-11 |
| 1336281179 | The Los Angeles Free Clinic | Clinic/Center | 5205 Melrose Ave, Los Angeles, CA 90038-3144 | 2007-02-12 |
| 1194893248 | The Los Angeles Free Clinic | Clinic/Center | 8405 Beverly Blvd, Los Angeles, CA 90048-3401 | 2006-11-30 |
| Street Address |
6043 HOLLYWOOD BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90028-5411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982745501 | Nikolaos M Stefanidis | Counselor | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2007-02-08 |
| 1346850534 | Julia S Chan-lopez | Nurse Practitioner | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2020-08-03 |
| 1760018527 | Pediatric and Family Medical Center | Clinic/Center | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2020-03-12 |
| 1164903167 | Brenda Natalie Larios | Registered Nurse | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2018-08-27 |
| 1407344773 | Richelle Hope Legaspi | Registered Nurse | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2018-04-23 |
| 1053860510 | La Donna Faine | Case Manager/Care Coordinator | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2016-09-26 |
| 1508311887 | Rosa Isabel Hidalgo | Student in an Organized Health Care Education/Training Program | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2016-08-17 |
| 1982159257 | Meredith Buchanan | Student in an Organized Health Care Education/Training Program | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2016-08-16 |
| 1437526738 | Michelle Kuranishi | Psychologist | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2015-08-21 |
| 1255708558 | Rebecca Anne Gillogly | Student in an Organized Health Care Education/Training Program | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2015-08-21 |
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| 1639715030 | Michelle Jennifer Martinez | Case Manager/Care Coordinator | 6838 Sunset Blvd., Hollywood, CA 90028 | 2019-11-20 |
| 1821562315 | Ronnie Jerome Jackson | Case Manager/Care Coordinator | Bhs Hollywood Recovery Center, 6838 Sunset Blvd, Hollywood, CA 90028 | 2019-01-17 |
| 1669961595 | Danielle Arce | Dietitian, Registered | 6721 De Longpre Ave, Los Angeles, CA 90028 | 2018-05-07 |
| 1982124772 | Yoon Kyung Lee | Pharmacist | 7201 Hollywood Blvd, Los Angeles, CA 90028 | 2017-06-22 |
| 1982133245 | Julia West | Pharmacist | 6201 Hollywood Blvd #126, Los Angeles, CA 90028 | 2017-06-08 |
| 1720527971 | Melissa Susac | Marriage & Family Therapist | 1540 Schrader Blvd, Garden Suite 12, Hollywood, CA 90028 | 2017-02-21 |
| 1023554284 | Arlene Aranda | Social Worker | 1873 Taft Ave, Los Angeles, CA 90028 | 2017-01-12 |
| 1912304775 | Damon Dodge | Marriage & Family Therapist | 7083 Hollywood Blvd, Los Angeles, CA 90028 | 2014-11-21 |
| Find all providers in zip 90028 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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|---|---|---|---|---|
| 1083251532 | Prime Wellness Community Health Center | Clinic/Center | 1824 1/2 W 38th Pl, Los Angeles, CA 90062-1012 | 2019-12-03 |
| 1093278632 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 1060 West Exposition Blvd., Los Angeles, CA 90007 | 2019-04-10 |
| 1003367590 | Jwch Institute, Inc | Clinic/Center | 115 E. 3rd Street, Los Angeles, CA 90013-1301 | 2016-10-19 |
| 1568919108 | Jwch Institute, Inc | Clinic/Center | 3804 Broadway Pl, Los Angeles, CA 90037-1414 | 2016-09-01 |
| 1093167850 | 3c Community Clinic | Clinic/Center | 3030 W Olympic Blvd Ste 206, Los Angeles, CA 90006-6506 | 2016-07-05 |
| 1174996177 | All-inclusive Community Health Center | Clinic/Center | 3920 Eagle Rock Blvd Ste A, Los Angeles, CA 90065-3606 | 2015-11-12 |
| 1861893844 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 326 West 23rd Street, Los Angeles, CA 90007 | 2014-09-10 |
| 1649680588 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 400 W Washington Blvd Bldg E-102, Los Angeles, CA 90015-4108 | 2014-04-30 |
| 1629491089 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 1555 West 110th St, Los Angeles, CA 90047-1220 | 2014-01-21 |
| 1487086989 | Central Neighborhood Health Foundation | Clinic/Center | 2614 S Grand Ave, Los Angeles, CA 90007-2607 | 2013-08-07 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90028 |
Please comment or provide details below to improve the information on THE LOS ANGELES FREE CLINIC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.