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KEDREN COMMUNITY HEALTH CENTER, INC.
NPI 1255548483
Clinic/Center - Mental Health (Including Community Mental Health Center) in Los Angeles, CA

Active since May 17, 2007CLIA 05D2344415 · Waiver
4211 AVALON BLVD, LOS ANGELES, CA 90011(323) 432-5093(323) 233-5015 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2026, Apr 16, 2019, Aug 8, 2018 and 1 more (4 updates tracked since 2016).

About Kedren Community Health Center, Inc. NPPES

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

KEDREN COMMUNITY HEALTH CENTER, INC. (NPI 1255548483), doing business as Kedren Community Mental Health Center, is a healthcare organization registered as a mental health (including community mental health center) in Los Angeles, California and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through May 20, 2028 and lists Hilda Rodriguez, Director Of Billing Services, as its authorized official.

NPPES Registry Identity

NPI1255548483
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameKEDREN COMMUNITY HEALTH CENTER, INC.
Location Address4211 AVALON BLVDLos Angeles, CA 90011-5622
Mailing Address4211 Avalon BlvdLos Angeles, CA 90011-5622 · (323) 582-2251 · Fax (323) 582-2251
Phone(323) 432-5093
Fax(323) 233-5015
Organization SubpartYes
Authorized OfficialHilda RodriguezDirector Of Billing Services · (323) 802-0264
Enumeration DateMay 17, 2007
Last NPPES UpdateMay 20, 20264 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1255548483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
4211 AVALON BLVD, Los Angeles, CA 90011
Open in Google Maps ↗

Other Names 1

Doing Business AsKedren Community Mental Health Center

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 05D2344415

Kedren Community Care Clinic · Los Angeles, CA
Active · expires May 20, 2028
CLIA Number05D2344415
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 21, 2026
Certificate Expiration DateMay 20, 2028
Laboratory DirectorKelly Jones
Laboratory Phone(213) 760-4177
Laboratory LocationKedren Community Care Clinic4211 Avalon Blvd, Suite B, Los Angeles, CA 90011
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only 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.

ANGEL MARTIN
Registered Nurse
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 432-5185
MICHELLE OUATTARA
Occupational Therapist (Mental Health)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 432-5080
ALEXANDER JERROD BLACK ACSW
Social Worker (Clinical)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
BRIANNA FONSECA
Social Worker
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
JESSE VELAZQUEZ
Social Worker
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
DR. KIERSTEN TAYLOR PHARMD
Pharmacist (Psychiatric)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
NNEKA PATRICIA NJOKU
Nurse Practitioner (Psychiatric/Mental Health)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
DR. YVORN ASWAD MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 582-2251

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 Kedren Community Health Center, Inc.'s NPI number?

The NPI number for Kedren Community Health Center, Inc. is 1255548483. It was assigned to this organization in the NPPES registry on May 17, 2007. The provider is doing business as Kedren Community Mental Health Center.

Where is Kedren Community Health Center, Inc. located?

Kedren Community Health Center, Inc. is located at 4211 Avalon Blvd, Los Angeles, CA 90011. The listed phone number is (323) 432-5093.

What is Kedren Community Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Kedren Community Health Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2344415) is associated with this NPI, valid through May 20, 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 Kedren Community Health Center, Inc. was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.