GOOD NEIGHBOR CLINIC, AMC (NPI# 1689073595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689073595 |
| Entity Type | Organization |
| Organization Name | GOOD NEIGHBOR CLINIC, AMC |
| Other Organization Name | GOOD NEIGHBOR CLINIC CRENSHAW BOULEVARD |
| Practice Address |
4300 Crenshaw Blvd. Los Angeles CA 90008 |
| Practice Telephone | 3232981668 |
| Practice Fax Number | 3232980458 |
| Mailing Telephone | (323) 298-1668 |
| Mailing Fax Number | 3232980458 |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2017-08-30 |
| Authorized Official Name | HAZEL MCKILLOP (OWNER/CEO) |
| Authorized Official Telephone | 3232981668 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | A31491 | CA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Good Neighbor Clinic Crenshaw Boulevard | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427477827 | Good Neighbor Clinic, Amc | Psychiatry & Neurology | 4300 Crenshaw Blvd., Los Angeles, CA 90008 | 2014-04-14 |
| Street Address |
4300 CRENSHAW BLVD. |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427477827 | Good Neighbor Clinic, Amc | Psychiatry & Neurology | 4300 Crenshaw Blvd., Los Angeles, CA 90008 | 2014-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185215 | Mishanda Y Freeman | Social Worker | 3001 West Vernon Ave, Los Angeles, CA 90008 | 2019-10-11 |
| 1104390723 | Joana Rodriguez | Rehabilitation Practitioner | 3731 Stocker St., Suite 105, Los Angeles, CA 90008 | 2019-01-16 |
| 1356840128 | Acclivity | Community/Behavioral Health | 3870 Crenshaw Blvd Ste 229, Los Angeles, CA 90008 | 2018-02-07 |
| 1376055145 | Gentle F Carcamo | Rehabilitation Practitioner | 3731 Stoker Street, Ste. 105, Los Angeles, CA 90008 | 2017-11-01 |
| 1710498332 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4173 2nd Ave, Los Angeles, CA 90008 | 2017-10-23 |
| 1144748591 | Alexandra Nicole Romero | Social Worker | 3751 Stocker St., Los Angeles, CA 90008 | 2017-09-06 |
| 1669998209 | Leslie S Ortiz | Counselor | 3731 Stocker Street, Suite 105, Los Angeles, CA 90008 | 2017-08-15 |
| 1902335078 | Deanna L Williams | Counselor | 3757 Santa Rosalia Drive, #628, Los Angeles, CA 90008 | 2017-06-12 |
| 1609300508 | Lydia Quintanills | Counselor | 3756 Santa Rosalia Dr Suite 617, Los Angeles, CA 90008 | 2017-04-18 |
| 1881056661 | A Plus Care Giver Services | Clinic/Center | 2420 W. Mlk Jr. Blvd, Los Angeles, CA 90008 | 2016-03-22 |
| Find all providers in zip 90008 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1891310124 | Movn Pllc | Clinic/Center | 800 Wilshire Blvd Ste 200, Los Angeles, CA 90017-2608 | 2020-06-12 |
| 1194346387 | Tsoy Acupuncture and Oriental Medicine | Clinic/Center | 1745 Silver Lake Blvd, Los Angeles, CA 90026-1221 | 2020-04-29 |
| 1790304186 | Tatyana Rem | Clinic/Center | 1745 Silver Lake Bvld, Los Angeles, CA 90026-1221 | 2020-04-15 |
| 1255950424 | What's In It, LLC. | Clinic/Center | 10323 Woodbine St Apt 105, Los Angeles, CA 90034-3749 | 2020-04-08 |
| 1386287456 | Cpsn, Inc | Clinic/Center | 10700 Santa Monica Blvd Ste 309, Los Angeles, CA 90025-6587 | 2019-10-22 |
| 1548737794 | American Current Care of California, A Medical Corporation | Clinic/Center | 434 S San Vicente Blvd Ste 100, Los Angeles, CA 90048-4108 | 2018-10-25 |
| 1295201044 | Jwch Institute, Inc. | Clinic/Center | 500 S San Pedro St, Los Angeles, CA 90013-2102 | 2018-10-19 |
| 1609359660 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1300 N Vermont Ave Ste 501, Los Angeles, CA 90027-6098 | 2018-09-14 |
| 1548740939 | Mission City Community Network Inc | Clinic/Center | 5300 Santa Monica Blvd Ste 202, Los Angeles, CA 90029 | 2018-08-15 |
| 1518460658 | Aids Healthcare Foundation | Clinic/Center | 1811 N Western Ave, Los Angeles, CA 90027-3403 | 2018-03-15 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90008 |
Please comment or provide details below to improve the information on GOOD NEIGHBOR CLINIC, AMC.
| 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.