Community Clinic and Health Care

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

538463 Issued in CA

Legal business name

COMMUNITY CLINIC AND HEALTH CARE

Practice address

6715 Melrose Ave
Los Angeles, CA 90038-3411

Phone

(818) 601-5878

NPI assigned

Dec 3, 2014

Organization subpart

No

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

Authorized official

Name

Kirsten Wallace

Title

Ceo

Phone

(818) 651-4594

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1568869709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 MELROSE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900383411",
            "telephone_number": "818-601-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 MELROSE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900383411",
            "telephone_number": "818-601-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CLINIC AND HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-651-4594"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "538463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Communities Actively Living Independent and Free
• Community Alcohol & Drug Foundation
• Community Assistance Services, Inc
• Community Birth Group
• Community Care Solutions, Inc
• Community Counseling for Individuals and Families
• Community Dental Services
• Community Health Council
• Community Healthcare Resources Inc.
• Community Laboratory Inc

• Substance Abuse Rehabilitation Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.