KEDREN COMMUNITY CARE CLINIC - B
NPI 1295257913
Clinic/Center - Federally Qualified Health Center (FQHC) in Los Angeles, CA

Q: What is Kedren Community Care Clinic - B's NPI number?

The NPI number for Kedren Community Care Clinic - B is 1295257913. It was assigned to this organization in the NPPES registry on July 14, 2017. The provider is also known as Kedren Community Care Clinic-B.

Q: What is Kedren Community Care Clinic - B'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 July 14, 2017

4211 AVALON BLVD STE B, LOS ANGELES, CA 90011(323) 232-2384(323) 232-2384 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 10, 2026, Mar 26, 2026, Feb 11, 2025 and 2 more (5 updates tracked since 2017).

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About Kedren Community Care Clinic - B NPPES

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

KEDREN COMMUNITY CARE CLINIC - B (NPI 1295257913) is a healthcare organization registered as a federally qualified health center (fqhc) in Los Angeles, California and active in the NPI registry since July 2017. The organization lists Leticia Perez, Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1295257913

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameKEDREN COMMUNITY CARE CLINIC - B

Location Address4211 AVALON BLVD STE BLos Angeles, CA 90011-5622

Mailing Address4211 Avalon Blvd, Hr DepartmentLos Angeles, CA 90011-5622 · (323) 582-2251 · Fax (323) 582-2251

Phone(323) 232-2384

Fax(323) 232-2384

Organization SubpartYesParent: Kedren Community Health Center, Inc.

Authorized OfficialLeticia PerezClinic Manager · (323) 232-2384

Enumeration DateJuly 14, 2017

Last NPPES UpdateApril 10, 20265 updates tracked since enumeration

NPPES CertifiedApril 10, 2026

✔ NPI 1295257913 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

4211 AVALON BLVD STE B, Los Angeles, CA 90011

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Other Names 1

Other NameKedren Community Care Clinic-b

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 Care Clinic - B's NPI number?

The NPI number for Kedren Community Care Clinic - B is 1295257913. It was assigned to this organization in the NPPES registry on July 14, 2017. The provider is also known as Kedren Community Care Clinic-B.

Where is Kedren Community Care Clinic - B located?

Kedren Community Care Clinic - B is located at 4211 Avalon Blvd Ste B, Los Angeles, CA 90011. The listed phone number is (323) 232-2384.

What is Kedren Community Care Clinic - B's specialty?

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

When was this NPI record last updated?

The NPPES record for Kedren Community Care Clinic - B was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.