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General NPI Number Information
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NPI Number | 1558213488
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Entity Type | Organization
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Legal Business Name | ST. JOHN'S COMMUNITY HEALTH
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Dates
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Enumeration Date | 02/12/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 1320 N LONG BEACH BLVD
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City | COMPTON
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State | CA
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Zip | 90221-1605
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Country | US
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Telephone | 323-541-1411
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Fax |
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Provider Business Mailing Address
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Address Line | 808 W 58TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90037-3632
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Country | US
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Telephone | 323-541-1411
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Fax |
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Authorized Official
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Title or Position | CHIEF ADMINISTRATION OFFICER
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Name | MRS. MARIA SOCORRO GENIE
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Credential |
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Telephone | 323-541-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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