Healthcare Provider Details

I. General information

NPI: 1952220733
Provider Name (Legal Business Name): NQ COMMUNITY HEALTH CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3034 E FLORENCE AVE
HUNTINGTON PARK CA
90255-5828
US

IV. Provider business mailing address

3034 E FLORENCE AVE
HUNTINGTON PARK CA
90255-5828
US

V. Phone/Fax

Practice location:
  • Phone: 818-800-6855
  • Fax: 818-997-0117
Mailing address:
  • Phone: 818-800-6855
  • Fax: 818-997-0117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ELYSS RIVERA SAPON
Title or Position: CEO
Credential: RN
Phone: 818-800-6855