NORTHEAST COMMUNITY CLINIC – NPI #1891028171
Clinic/Center

NORTHEAST COMMUNITY CLINIC is an AHC clinic located in HAWTHORNE, CA. NPPES has assigned the NPI number 1891028171 to NORTHEAST COMMUNITY CLINIC on September 17, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 5 years ago on Oct 15, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTHEAST COMMUNITY CLINIC below.

NPI Profile for
NORTHEAST COMMUNITY CLINIC

NPI Number
1891028171
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHEAST COMMUNITY CLINIC
Primary location
4455 W 117TH ST STE 300
HAWTHORNE, CA 90250-2240
Phone: (310) 645-0444 Fax: (310) 978-0599
Mailing address
2550 W MAIN ST
SUITE 301
ALHAMBRA, CA 91801-1694
Phone: (626) 457-6900 Fax: (626) 457-5022
Organization Subpart
No
Authorized Official
CHRISTOPHER LAU
EXECUTIVE DIRECTOR
Phone: (626) 457-6900
Updated
Certification Date
Oct 15, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.