Los Angeles Community Clinic, Inc.

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

LOS ANGELES COMMUNITY CLINIC, INC.

Practice address

1830 W Olympic Blvd
Suite 124
Los Angeles, CA 90006-3734

Phone

(323) 852-3245

Fax

(213) 325-6618

NPI assigned

Mar 13, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Brandon Saejoon Oh

Title

Ceo/President

Phone

(213) 249-0001

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1647129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647129600000",
    "number": "1972251577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 W OLYMPIC BLVD",
            "address_2": "SUITE 124",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900063734",
            "telephone_number": "323-852-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 W OLYMPIC BLVD",
            "address_2": "SUITE 124",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900063734",
            "telephone_number": "323-852-3245",
            "fax_number": "213-325-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES COMMUNITY CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-13",
        "last_updated": "2022-03-13",
        "certification_date": "2022-03-13",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "SAEJOON",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "213-249-0001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Los Angeles Christian Health Centers
• Los Angeles Christian Health Centers
• Los Angeles Christian Health Centers
• Los Angeles Clinica Medica General Medical Center, Inc.
• Los Angeles Community Clinic, Inc.
• Los Angeles Community Health Center
• Los Angeles Counseling Group
• Los Angeles County
• Los Angeles County
• Los Angeles County - Department of Health

• Community Health Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.