3C COMMUNITY CLINIC
NPI 1093167850
Clinic/Center - Federally Qualified Health Center (FQHC) in Los Angeles, CA
About 3c Community Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
3C COMMUNITY CLINIC (NPI 1093167850) is a healthcare organization registered as a federally qualified health center (fqhc) in Los Angeles, California and active in the NPI registry since July 2016. The organization holds a CLIA Waiver certificate valid through November 2, 2026 and lists Jaesung Kim, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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 of Waiver 05D2121401
3C Community Clinic · Los Angeles, CAOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 3C Community Clinic's NPI number?
The NPI number for 3C Community Clinic is 1093167850. It was assigned to this organization in the NPPES registry on July 5, 2016.
Where is 3C Community Clinic located?
3C Community Clinic is located at 3030 W Olympic Blvd Ste 206, Los Angeles, CA 90006. The listed phone number is (310) 658-4494.
What is 3C 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 3C Community Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2121401) is associated with this NPI, valid through November 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for 3C Community Clinic was last updated on May 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
