Los Angeles Christian Health Centers

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

LOS ANGELES CHRISTIAN HEALTH CENTERS

Practice address

13200 Avalon Blvd
Los Angeles, CA 90061-2227

Phone

(213) 893-1960

NPI assigned

Apr 18, 2022

Last updated

Apr 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bettina Lewis

Title

Deputy Director & Coo

Phone

(213) 893-1960

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1699418616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 S SPRING ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900132013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13200 AVALON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900612227",
            "telephone_number": "213-893-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES CHRISTIAN HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "BETTINA",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR & COO",
        "authorized_official_telephone_number": "213-893-1960"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457599631",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Los Angeles Christian Health Centers
• Los Angeles Christian Health Centers
• Los Angeles Christian Health Centers
• Los Angeles Christian Health Centers
• Los Angeles Christian Health Centers
• Los Angeles Christian Health Centers (Pico Aliso Community Pharmacy)
• Los Angeles Christian Health Centers
• Los Angeles Christian Health Centers
• Los Angeles Christian Health Centers
• Los Angeles Clinica Medica General Medical Center, Inc.

• Federally Qualified Health Center (FQHC) in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Federally Qualified Health Center (FQHC) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.