EAST LOS ANGELES HEALTH TASK (NPI# 1770793754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770793754 |
| Entity Type | Organization |
| Organization Name | EAST LOS ANGELES HEALTH TASK |
| Other Organization Name | CLINICA MEDICA JOSE CARLOS |
| Practice Address |
2120 E 6th St Los Angeles CA 90023-1202 |
| Practice Telephone | 3238811112 |
| Practice Fax Number | 3232610246 |
| Mailing Telephone | 3238811112 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SUSANNA DELGADO ARELLANO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3232612171 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 261QC1500X |
Clinic/Center Specialization: Community Health |
CA | Ambulatory Health Care Facilities | |
| X | 261QC1500X |
Clinic/Center Specialization: Community Health |
CA | Ambulatory Health Care Facilities | |
| X | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
CA | Ambulatory Health Care Facilities | |
| X | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
CA | Ambulatory Health Care Facilities | |
| X | 261QP2300X |
Clinic/Center Specialization: Primary Care |
CA | Ambulatory Health Care Facilities | |
| X | 261QP2300X |
Clinic/Center Specialization: Primary Care |
CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PAMELA LEWIS FNP LIC# | 10307 | 01 |
| CA | CMM70727F | 05 | |
| CA | CORLISS SHELTON MD LIC# | C42346 | 01 |
| CA | EAPC STATE GRANT | EAP00002F | 01 |
| Other Name | Type Code |
|---|---|
| Clinica Medica Jose Carlos | Doing Business As Name - Organization |
| Street Address |
2120 E 6TH ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90023-1202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750590402 | Pamela P Lewis | Nurse Practitioner | 2120 E 6th St, Los Angeles, CA 90023-1202 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104470384 | Chan Family Medical Corp | General Practice | 4070 E. Olympic Blvd, Los Angeles, CA 90023 | 2019-07-26 |
| 1275059511 | Jeff Moreno | Psychoanalyst | 550 Vermount Ave, Los Angeles, CA 90023 | 2017-08-18 |
| 1457714297 | Isabel Garcia | Counselor | 4543 Sabina Street, Los Angeles, CA 90023 | 2016-03-30 |
| 1275950115 | Daniel Lemor | Ophthalmology | 4036 Whittier Blvd Ste 202, Los Angeles, CA 90023 | 2014-03-27 |
| 1073951992 | Behavioral Health Services, Inc. | Community/Behavioral Health | 2515 Whittier Blvd., Los Angeles, CA 90023 | 2013-06-13 |
| 1003115312 | H.r.imankhan,dds,inc | Dentist | 3356 E. Olympic Blvd, Los Angeles, CA 90023 | 2011-03-25 |
| 1508006297 | Ricca Tinnin | Physician Assistant | 1200 N State St., Dept E.r., La, CA 90023 | 2009-02-20 |
| 1538366851 | Sun Heung Lui | Counselor | 3421 E. Olympic Blvd., Los Angeles, CA 90023 | 2007-06-29 |
| 1851519623 | Atlantic Recovery Services | Community/Behavioral Health | 3225 Flunter St, Estrada Courts Sea, Los Angeles, CA 90023 | 2007-04-24 |
| 1548486947 | Manasseh C Nwaigwe | General Practice | 1159 S. Lorena St, Los Angeles, CA 90023 | 2007-04-17 |
| Find all providers in zip 90023 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | 90023 |
Please comment or provide details below to improve the information on EAST LOS ANGELES HEALTH TASK.
| 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.