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SABAN COMMUNITY CLINIC - MOBILE CLINIC
NPI 1114668647
Clinic/Center - Federally Qualified Health Center (FQHC) in Los Angeles, CA

Active since April 06, 2022CLIA 05D0686770 · Microscopy
6043 HOLLYWOOD BLVD, LOS ANGELES, CA 90028(323) 653-1990 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2022, Apr 6, 2022 (2 updates tracked since 2022).

About Saban Community Clinic - Mobile Clinic NPPES

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

SABAN COMMUNITY CLINIC - MOBILE CLINIC (NPI 1114668647) is a healthcare organization registered as a federally qualified health center (fqhc) in Los Angeles, California and active in the NPI registry since April 2022. The organization holds a CLIA Microscopy certificate valid through April 7, 2028 and lists Muriel Nouwezem, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114668647
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTHE LOS ANGELES FREE CLINIC - MOBILE CLINIC
Location Address6043 HOLLYWOOD BLVDLos Angeles, CA 90028-5411
Mailing Address8405 Beverly BlvdLos Angeles, CA 90048-3401 · (323) 653-1990
Phone(323) 653-1990
Organization SubpartNo
Authorized OfficialMuriel NouwezemCeo · (323) 337-1707
Enumeration DateApril 6, 2022
Last NPPES UpdateJuly 28, 20222 updates tracked since enumeration
NPPES CertifiedJuly 28, 2022
✔ NPI 1114668647 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
6043 HOLLYWOOD BLVD, Los Angeles, CA 90028
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Other Names 1

Doing Business AsSaban Community Clinic - Mobile Clinic

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) 05D0686770

Los Angeles Free Clinic Dba Saban Community Clinic · Los Angeles, CA
Active · expires Apr 7, 2028
CLIA Number05D0686770
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 8, 2026
Certificate Expiration DateApril 7, 2028
Laboratory DirectorAnna Noble
Laboratory Phone(323) 337-1789
Laboratory LocationLos Angeles Free Clinic Dba Saban Community Clinic8405 Beverly Blvd, Los Angeles, CA 90048
CLIA data matches this NPI record on: Address
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 20

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

LA DONNA FAINE
Case Manager/Care Coordinator
6043 HOLLYWOOD BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 658-1990
CRYSTAL BIAGI M.S.
Marriage & Family Therapist
6043 HOLLYWOOD BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 337-1710
KAITLIN MERRITT L.C.S.W
Social Worker (Clinical)
6043 HOLLYWOOD BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 653-1990
WENDY SOLIS
Case Manager/Care Coordinator
6043 HOLLYWOOD BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 653-1990
BRANDON ALEJANDRO COREY PA
Physician Assistant (Medical)
6043 HOLLYWOOD BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 653-1990
KELLY JONES
Counselor (Mental Health)
6043 HOLLYWOOD BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 653-1990
BRENDA NATALIE LARIOS
Registered Nurse (Community Health)
6043 HOLLYWOOD BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 337-1735
DR. CANAAN ARCENEAUX DO
Family Medicine
6043 HOLLYWOOD BLVD
HOLLYWOOD, CA 90028
Los Angeles County (323) 653-1990

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 The Los Angeles Free Clinic - Mobile Clinic's NPI number?

The NPI number for The Los Angeles Free Clinic - Mobile Clinic is 1114668647. It was assigned to this organization in the NPPES registry on April 6, 2022. The provider is doing business as Saban Community Clinic - Mobile Clinic.

Where is The Los Angeles Free Clinic - Mobile Clinic located?

The Los Angeles Free Clinic - Mobile Clinic is located at 6043 Hollywood Blvd, Los Angeles, CA 90028. The listed phone number is (323) 653-1990.

What is The Los Angeles Free Clinic - Mobile 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 The Los Angeles Free Clinic - Mobile Clinic hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0686770) is associated with this NPI, valid through April 7, 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 The Los Angeles Free Clinic - Mobile Clinic was last updated on July 28, 2022. 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.