Healthcare Provider Details

I. General information

NPI: 1457599631
Provider Name (Legal Business Name): LOS ANGELES CHRISTIAN HEALTH CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2009
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 E 4TH STREET
LOS ANGELES CA
90033
US

IV. Provider business mailing address

315 W 9TH ST
LOS ANGELES CA
90015-1512
US

V. Phone/Fax

Practice location:
  • Phone: 323-268-8391
  • Fax: 323-268-8014
Mailing address:
  • Phone: 213-893-1960
  • Fax: 213-229-9061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number550000850
License Number StateCA

VIII. Authorized Official

Name: SARAH HOUSSAYNI
Title or Position: CMO
Credential:
Phone: 213-893-1960