SUNKWA AFRICAN ART AND CRAFT (NPI# 1306197033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306197033 |
| Entity Type | Organization |
| Organization Name | SUNKWA AFRICAN ART AND CRAFT |
| Other Organization Name | LIFELINE COMMUNITY CLINIC |
| Practice Address |
11905 S Central Ave Ste. 100 Los Angeles CA 90059-2897 |
| Practice Telephone | 3234761316 |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |
| Authorized Official Name | MR. DONWILLIAMS A YEBOAH (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3234761316 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lifeline Community Clinic | Doing Business As Name - Organization |
| Street Address |
11905 S CENTRAL AVE STE. 100 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90059-2897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194792218 | Cheryl Diane Bingham | Dentist | 11905 S Central Ave, #203, Los Angeles, CA 90059-2836 | 2006-03-07 |
| 1013455179 | Toni Wright | Rehabilitation Practitioner | 11905 S Central Ave, Los Angeles, CA 90059-2897 | 2017-02-08 |
| 1467873265 | Sunkwa Community Foundation | General Practice | 11905 S Central Ave, Suite 100, Los Angeles, CA 90059-2897 | 2013-12-20 |
| 1346672458 | Maria Razo | Counselor | 11905 S Central Ave, Suite 200/206, Los Angeles, CA 90059-2897 | 2013-07-31 |
| 1033556923 | Dennis Smith | Counselor | 11905 S Central Ave, Ste 204-205, Los Angeles, CA 90059-2897 | 2013-05-31 |
| 1881948909 | Damon Beverly | Counselor | 11905 S Central Ave, Suite 200, 204, 205, 206, Los Angeles, CA 90059-2897 | 2012-10-29 |
| 1497009518 | Patrick Bell | Counselor | 11905 S Central Ave, Suite 200, 204, 205, 206, Los Angeles, CA 90059-2897 | 2012-10-29 |
| 1700130820 | Manuel Lopez | Counselor | 11905 S Central Ave, Suite 200,204,205,206, Los Angeles, CA 90059-2897 | 2012-10-29 |
| 1689940983 | Martha Godinez | Counselor | 11905 S Central Ave, Suite 205, Los Angeles, CA 90059-2897 | 2012-03-30 |
| 1003182304 | Antonio Lucas | Counselor | 11905 S Central Ave, Suite 205, Los Angeles, CA 90059-2897 | 2012-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759788 | Juan Jimenez Jr. | Technician, Pathology | 1860 E 120th St, Los Angeles, CA 90059 | 2020-04-24 |
| 1538717780 | Donald O Nwanze | Pharmacist | Mlk Outpatient Center (pharmacy), 1670 East 120th Street, Los Angeles, CA 90059 | 2019-08-30 |
| 1295391050 | Sheela Hoyle | Counselor | 836 East Saucer Lane, Los Angeles, CA 90059 | 2019-05-16 |
| 1750852471 | Carlos Tovar Sr. | Community Health Worker | 1720 E 120st, Los Angeles, CA 90059 | 2018-12-06 |
| 1699293910 | Amy Caryn Bolenbaugh | Recreation Therapist | 1720 E 120th Street, Los Angeles, CA 90059 | 2017-09-07 |
| 1417475757 | Scott Lee Jones | Recreation Therapist | Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 | 2017-09-07 |
| 1881118859 | Darlene Renee Tillman | Speech-Language Pathologist | 1670 E 120th Strret, Los Angeles, CA 90059 | 2017-08-01 |
| 1609306430 | Valda Therese Flores | Registered Nurse | 1670 E. 120th Street, Los Angeles, CA 90059 | 2017-06-14 |
| 1093244006 | Bongsill Chung | Registered Nurse | 1670 East 120th St, Los Angeles, CA 90059 | 2017-06-05 |
| 1730573395 | Apollonia Godoy | Registered Nurse | 1670 E. 120th St, 4th Floor, Module A, Los Angeles, CA 90059 | 2015-03-22 |
| Find all providers in zip 90059 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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| 1093278632 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 1060 West Exposition Blvd., Los Angeles, CA 90007 | 2019-04-10 |
| 1003367590 | Jwch Institute, Inc | Clinic/Center | 115 E. 3rd Street, Los Angeles, CA 90013-1301 | 2016-10-19 |
| 1568919108 | Jwch Institute, Inc | Clinic/Center | 3804 Broadway Pl, Los Angeles, CA 90037-1414 | 2016-09-01 |
| 1093167850 | 3c Community Clinic | Clinic/Center | 3030 W Olympic Blvd Ste 206, Los Angeles, CA 90006-6506 | 2016-07-05 |
| 1174996177 | All-inclusive Community Health Center | Clinic/Center | 3920 Eagle Rock Blvd Ste A, Los Angeles, CA 90065-3606 | 2015-11-12 |
| 1861893844 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 326 West 23rd Street, Los Angeles, CA 90007 | 2014-09-10 |
| 1649680588 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 400 W Washington Blvd Bldg E-102, Los Angeles, CA 90015-4108 | 2014-04-30 |
| 1629491089 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 1555 West 110th St, Los Angeles, CA 90047-1220 | 2014-01-21 |
| 1487086989 | Central Neighborhood Health Foundation | Clinic/Center | 2614 S Grand Ave, Los Angeles, CA 90007-2607 | 2013-08-07 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90059 |
Please comment or provide details below to improve the information on SUNKWA AFRICAN ART AND CRAFT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.