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NPI Code Detail

MEDICARE: THE LOS ANGELES FREE CLINIC

MEDICARE: THE LOS ANGELES FREE CLINIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1821931502
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE LOS ANGELES FREE CLINIC
Provider Business Mailing Address
First Line : 8405 BEVERLY BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90048-3401
Country : US
Telephone Number : 323-653-1990
Fax Number :
Provider Business Practice Location Address
First Line : 2121 W TEMPLE ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-4915
Country : US
Telephone Number : 323-653-1990
Fax Number :
Authorized Official
Title or Position : CEO
Name : MURIEL NOUWEZEM
Credential :
Telephone Number : 323-337-1707
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/09/2026

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Directions to “THE LOS ANGELES FREE CLINIC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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