NORTHEAST COMMUNITY CLINIC
NPI 1043725583
Clinic/Center - Federally Qualified Health Center (FQHC) in Harbor City, CA

Q: What is Northeast Community Clinic's NPI number?

The NPI number for Northeast Community Clinic is 1043725583. It was assigned to this organization in the NPPES registry on December 6, 2017.

Q: What is Northeast Community Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since December 06, 2017CLIA 05D0694067 · Microscopy

1403 LOMITA BLVD STE 103, HARBOR CITY, CA 90710(310) 784-1800(310) 602-3737 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 15, 2021, Dec 6, 2017 (2 updates tracked since 2017).

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About Northeast Community Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST COMMUNITY CLINIC (NPI 1043725583) is a healthcare organization registered as a federally qualified health center (fqhc) in Harbor City, California and active in the NPI registry since December 2017. The organization holds a CLIA Microscopy certificate valid through May 1, 2028 and lists Christopher Tak Lau, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1043725583

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameNORTHEAST COMMUNITY CLINIC

Location Address1403 LOMITA BLVD STE 103Harbor City, CA 90710-2084

Mailing Address2550 W Main St Ste 301Alhambra, CA 91801-7003 · (626) 457-6900 · Fax (626) 457-5022

Phone(310) 784-1800

Fax(310) 602-3737

Organization SubpartYes

Authorized OfficialChristopher Tak LauExecutive Director · (626) 457-6900

Enumeration DateDecember 6, 2017

Last NPPES UpdateOctober 15, 20212 updates tracked since enumeration

NPPES CertifiedOctober 15, 2021

✔ NPI 1043725583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

1403 LOMITA BLVD STE 103, Harbor City, CA 90710

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0694067

Northeast Community Clinic · Los Angeles, CA

Active · expires May 1, 2028

CLIA Number05D0694067

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateMay 2, 2026

Certificate Expiration DateMay 1, 2028

Laboratory DirectorChristopher T. Lau MD

Laboratory Phone(626) 457-6900

Laboratory LocationNortheast Community Clinic5420 N Figueroa St, Los Angeles, CA 90042

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANDRA CHU DAMIANI MD

Family Medicine

1403 LOMITA BLVD STE 103
HARBOR CITY, CA 90710

Los Angeles County (310) 784-1800

MRS. FRANCES TSO-YEE N.P.

Nurse Practitioner (Adult Health)

1403 LOMITA BLVD STE 103
HARBOR CITY, CA 90710

Los Angeles County (310) 784-1800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northeast Community Clinic's NPI number?

The NPI number for Northeast Community Clinic is 1043725583. It was assigned to this organization in the NPPES registry on December 6, 2017.

Where is Northeast Community Clinic located?

Northeast Community Clinic is located at 1403 Lomita Blvd Ste 103, Harbor City, CA 90710. The listed phone number is (310) 784-1800.

What is Northeast Community Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Northeast Community Clinic hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0694067) is associated with this NPI, valid through May 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northeast Community Clinic was last updated on October 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.