Healthcare Provider Details
I. General information
NPI: 1942398367
Provider Name (Legal Business Name): LOS ANGELES CHRISTIAN HEALTH CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/11/2006
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
325 E 7TH STREET
LOS ANGELES CA
90013
US
IV. Provider business mailing address
315 W 9TH ST STE 950
LOS ANGELES CA
90015-4213
US
V. Phone/Fax
- Phone: 213-893-1960
- Fax:
- Phone: 213-893-1960
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251V00000X |
| Taxonomy | Voluntary or Charitable Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QF0400X |
| Taxonomy | Federally Qualified Health Center (FQHC) |
| License Number | 960000972 |
| License Number State | CA |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QF0400X |
| Taxonomy | Federally Qualified Health Center (FQHC) |
| License Number | 550000850 |
| License Number State | CA |
VIII. Authorized Official
Name:
SARAH
HOUSSAYNI
Title or Position: CMO
Credential: MD
Phone: 213-893-1960