THE LOS ANGELES FREE CLINIC (NPI# 1619471802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619471802 |
| Entity Type | Organization |
| Organization Name | THE LOS ANGELES FREE CLINIC |
| Other Organization Name | SABAN COMMUNITY CLINIC |
| Practice Address |
137 N Virgil Ave Los Angeles CA 90004-4811 |
| Mailing Address |
8405 Beverly Blvd Los Angeles CA 90048-3401 |
| Practice Telephone | 3233371707 |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |
| Authorized Official Name | MS. MURIEL NOUWEZEM (CFO) |
| Authorized Official Telephone | 3233371707 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HAP70701F | 05 | |
| CA | CMM70945F | 05 | |
| CA | FHC70654F | 05 | |
| CA | EAP00005F | 05 | |
| CA | HAP70654F | 05 |
| Other Name | Type Code |
|---|---|
| Saban Community Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1235271065 | The Los Angeles Free Clinic | Clinic/Center | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2007-02-12 |
| 1194893248 | The Los Angeles Free Clinic | Clinic/Center | 8405 Beverly Blvd, Los Angeles, CA 90048-3401 | 2006-11-30 |
| Street Address |
137 N VIRGIL AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90004-4811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003875493 | Healthylife,inc | Day Training, Developmentally Disabled Services | 137 N Virgil Ave, Los Angeles, CA 90004-4811 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225504160 | Jessica M. Louie | Pharmacist | 590 North Vermont Avenue, Suite 334, Los Angeles, CA 90004 | 2018-10-18 |
| 1033615828 | Javier G Ibarra | Counselor | 3910 Oakwood Ave., Los Angeles, CA 90004 | 2018-04-02 |
| 1558804351 | Bhc Alhamba Hospital | Psychiatric Residential Treatment Facility | 115 N. Mccadden Place, Los Angeles, CA 90004 | 2016-11-28 |
| 1275907719 | Rozalin Banafsheian | Psychologist | 522 N. Larchmont, Los Angeles, CA 90004 | 2015-11-20 |
| 1104214196 | Estrellita Rubio Reyes | Pediatrics | 3908 Beverly Blvd., Los Angeles, CA 90004 | 2014-12-30 |
| 1760888226 | Hardy Ophuls | Marriage & Family Therapist | 439 N. Larchmont Bl., Los Angeles, CA 90004 | 2014-11-11 |
| 1528462991 | Latrice Nicole Hardison | Licensed Vocational Nurse | 225 N. Mariposa Ave, Los Angeles, CA 90004 | 2014-10-14 |
| 1215331947 | Shonn Bunn | Rehabilitation Practitioner | 433 N. Hoover, Los Angeles, CA 90004 | 2014-10-09 |
| 1609296581 | Michael Armen Kezian | Dentist | 581 N Larchmont Blvd, Los Angeles, CA 90004 | 2014-04-18 |
| 1427485549 | Kir Medical Group | Family Medicine | 123 177th Street, Los Angeles, CA 90004 | 2013-10-03 |
| Find all providers in zip 90004 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
| 1649896903 | Jwch Institute, Inc. | Clinic/Center | 964 N Vermont Ave, Los Angeles, CA 90029-3529 | 2020-06-23 |
| 1306461074 | Jwch Institute, Inc | Clinic/Center | 855 N Vermont Ave, Los Angeles, CA 90029-3516 | 2020-06-09 |
| 1578186144 | Universal Community Health Center | Clinic/Center | 5460 E Beverly Blvd, Los Angeles, CA 90022-2208 | 2020-05-18 |
| 1114556263 | Arm 4 Arm Foundation | Clinic/Center | 231 W Vernon Ave., Suite 101, 201, Los Angeles, CA 90037 | 2020-04-01 |
| 1225673262 | Complete Care Community Health Center, Inc | Clinic/Center | 1300 N Vermont Ave Ste 606, Los Angeles, CA 90027-6088 | 2019-11-13 |
| 1811548712 | Jwch Institute, Inc | Clinic/Center | 1670 E 120 Street, West Support Bldg #14 Fl 2, Los Angeles, CA 90059-3026 | 2019-09-23 |
| 1902453731 | Altamed Health Services Corp | Clinic/Center | 2100 W 3rd St Ste 400, Los Angeles, CA 90057-2290 | 2019-08-26 |
| 1992269757 | Los Angeles Christian Health Centers | Clinic/Center | 325 7th Street, Los Angeles, CA 90014 | 2019-01-25 |
| 1083132849 | Altamed Health Services Corp | Clinic/Center | 2100 W 3rd St Ste 220, Los Angeles, CA 90057-1993 | 2017-08-31 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90004 |
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.