NPIMap

Organization Active NPI

East Los Angeles Health Task Force

  • Voluntary or Charitable Agency
  • Los Angeles, CA
National Provider Identifier
1013174945
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
960000237 Issued in CA
Legal business name
EAST LOS ANGELES HEALTH TASK FORCE
Practice address
2120 East 6TH Street
Los Angeles, CA 90023-1202
Phone
(323) 261-2171
NPI assigned
May 19, 2008
Last updated
May 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Susanna Arellano
Title
Executive Director
Phone
(323) 261-2171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X 960000237 CA Primary

Addresses

Primary practice location

2120 East 6TH Street
Los Angeles, CA 90023-1202

Mailing address

2120 E 6TH St
Los Angeles, CA 90023-1202
Phone (323) 261-2171

Other identifiers 1

IdentifierTypeStateIssuer
EAP00002FOtherCAEAPC

Other names 1

  • Clinica Medica Jose Carlos Other name

National Provider Directory

National Provider Directory
Tax ID family
Clinica Medica Jose Carlos3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2120 E 6th St
Los Angeles, CA 90023
Phone (323) 261-2171

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1013174945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 E 6TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900231202",
            "telephone_number": "323-261-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 EAST 6TH STREET",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900231202",
            "telephone_number": "323-261-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST LOS ANGELES HEALTH TASK FORCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "ARELLANO",
        "authorized_official_first_name": "SUSANNA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "323-261-2171",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "CA",
            "license": "960000237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EAPC",
            "identifier": "EAP00002F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Medica Jose Carlos",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.