Active NPI
T.H.E. Clinic, Inc.
- Clinic/Center
- Los Angeles, CA
National Provider Identifier
1568507978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- T.H.E. CLINIC, INC.
- Practice address
- 3834 S Western Ave
Los Angeles, CA 90062-1104 - Phone
- (323) 730-1920
- Fax
- (323) 730-9777
- NPI assigned
- Feb 21, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Robin Lynette Orr
- Title
- Accounting Manager
- Phone
- (323) 730-1920
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | CA | Primary |
Addresses
Primary practice location
3834 S Western Ave
Los Angeles, CA 90062-1104
Mailing address
3834 S Western Ave
Los Angeles, CA 90062-1104
Phone (323) 730-1920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FHC11688F | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- The
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1609251735
-
dba T.H.E. Clinic Pharmacy
- Community/Retail Pharmacy
- Los Angeles, CA
- NPI 1730035015
-
- Clinic/Center
- Brea, CA
- NPI 1639544505
Locations
3834 S Western Ave
Los Angeles, CA 90062
Phone (323) 730-1920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1568507978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3834 S WESTERN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900621104",
"telephone_number": "323-730-1920",
"fax_number": "323-730-9777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3834 S WESTERN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900621104",
"telephone_number": "323-730-1920",
"fax_number": "323-730-9777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "T.H.E. CLINIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ORR",
"authorized_official_first_name": "ROBIN",
"authorized_official_middle_name": "LYNETTE",
"authorized_official_title_or_position": "ACCOUNTING MANAGER",
"authorized_official_telephone_number": "323-730-1920",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "FHC11688F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.