COMMUNITY SUPPORT CLINIC, INC. (NPI# 1972908044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972908044 |
| Entity Type | Organization |
| Organization Name | COMMUNITY SUPPORT CLINIC, INC. |
| Practice Address |
506 S San Pedro St Suite A Los Angeles CA 90013-2102 |
| Mailing Address |
147 N Sparks St Suite A Burbank CA 91506-2143 |
| Practice Telephone | 3233733350 |
| Practice Fax Number | 3233733351 |
| Mailing Telephone | 3233733350 |
| Mailing Fax Number | 3233733351 |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2014-10-30 |
| Authorized Official Name | MARY MALEK (OPERATIONS MANAGER) |
| Authorized Official Telephone | 3233733350 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
Ambulatory Health Care Facilities |
| Street Address |
506 S SAN PEDRO ST SUITE A |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90013-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013470327 | Mia Rashap | Technician, Other | 555 W 5th St, Los Angeles, CA 90013 | 2019-04-12 |
| 1992263941 | Shiane Lyana Ferretti | Technician, Other | 555 West 5th Street, Los Angeles, CA 90013 | 2019-03-08 |
| 1629567060 | Dtla Med | Clinic/Center | 431 S Hewitt St Ste B, Los Angeles, CA 90013 | 2018-05-01 |
| 1386150886 | Abel Joseph Apodaca Jr. | Counselor | 512 East 4th Street, Los Angeles, CA 90013 | 2017-12-19 |
| 1578075560 | Anthony Perez | Case Manager/Care Coordinator | 522 S San Pedro, Los Angeles, CA 90013 | 2017-10-30 |
| 1740724574 | Royalty Group Services Inc | Clinic/Center | 555 West Fifth Street 31st Floor, Los Angeles, CA 90013 | 2016-12-13 |
| 1275930877 | Araceli Zuniga | Rehabilitation Practitioner | 640 South Maple Avenue, Los Angeles, CA 90013 | 2014-11-25 |
| 1558785956 | Carlos Mejia | Counselor | 470 E. 3rd St., Los Angeles, CA 90013 | 2014-02-06 |
| 1679908081 | Troy Gabrielson | Counselor | 470 E. 3rd Street, Suite C, Los Angeles, CA 90013 | 2013-09-05 |
| 1417298753 | Pierre Houbein | Physician Assistant | 311 Winston St., Los Angeles, CA 90013 | 2013-03-12 |
| Find all providers in zip 90013 | ||||
| Taxonomy Code | 261QF0050X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Family Planning, Non-Surgical |
| An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023517315 | Habona Services | Clinic/Center | 4405 S Main St, Los Angeles, CA 90037-2731 | 2018-02-02 |
| 1922276328 | Altamed Health Services Corp | Clinic/Center | 3945 Whittier Blvd, Los Angeles, CA 90023-2440 | 2008-02-19 |
| 1497933691 | Koryo Health Foundaton | Clinic/Center | 1058 S Vermont Ave, Los Angeles, CA 90006-2721 | 2008-02-11 |
| 1801087341 | Los Feliz Associates Medical Group Inc. | Clinic/Center | 3171 Los Feliz Blvd, Suite 206, Los Angeles, CA 90039-1527 | 2007-08-08 |
| 1801938592 | Town Center Medical Group | Clinic/Center | 4082 Whittier Blvd, Suite 102, Los Angeles, CA 90023-2558 | 2007-02-12 |
| 1801932108 | Altamed Medical and Dental Group Boyle Heights | Clinic/Center | 3945 Whittier Blvd, Los Angeles, CA 90023-2440 | 2007-01-30 |
| 1508919481 | Los Angeles County - Department of Health Services | Clinic/Center | 1200 N State St, Los Angeles, CA 90033-1029 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982201687 | Family Gold, LLC | Clinic/Center | 1133 Mohawk, Topanga, CA 90290-4446 | 2020-10-06 |
| 1992330690 | Affordable Urgent Care, Inc | Clinic/Center | 21300 Sherman Way Ste 3, Canoga Park, CA 91303-3672 | 2020-03-03 |
| 1437716180 | Erica Tobin Rossio | Clinic/Center | 11451 Blue Cypress Dr, San Diego, CA 92131-3772 | 2019-05-28 |
| 1063908432 | San Diego First Medical Center | Clinic/Center | 4539 College Ave, San Diego, CA 92115-4010 | 2018-07-09 |
| 1801399860 | Northeast Valley Health Corporation | Clinic/Center | 12759 Van Nuys Blvd, Pacoima, CA 91331-1627 | 2018-03-15 |
| 1578082400 | County of Santa Clara | Clinic/Center | 2101 Alexian Dr., Vhc At Alexian, San Jose, CA 95116-1901 | 2017-09-12 |
| 1922528694 | Asian and Pacific Islander Wellness Center, Inc. | Clinic/Center | 1800 Market St Ste 401, San Francisco, CA 94102-6227 | 2017-06-23 |
| 1063836526 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 3628 E Imperial Hwy Ste 301, Lynwood, CA 90262-2646 | 2014-02-04 |
| 1538592472 | Birth Your Way Birth Center - An International Midwifery Practice | Clinic/Center | 12152 Bryant St, Yucaipa, CA 92399-4478 | 2013-08-14 |
| 1851735351 | Good Shephard Medical Clinic | Clinic/Center | 661 W 1rst Streeet # G, Tustin, CA 92780 | 2013-04-26 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90013 |
Please comment or provide details below to improve the information on COMMUNITY SUPPORT CLINIC, INC..
| 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.