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NORTHEAST COMMUNITY CLINIC
NPI 1336790914
Clinic/Center - Federally Qualified Health Center (FQHC) in Hawthorne, CA

Active since September 24, 2019
4455 W 117TH ST STE 502, HAWTHORNE, CA 90250(424) 236-4800(424) 236-4801 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 15, 2021, Sep 24, 2019 (2 updates tracked since 2019).

About Northeast Community Clinic NPPES

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

NORTHEAST COMMUNITY CLINIC (NPI 1336790914) is a healthcare organization registered as a federally qualified health center (fqhc) in Hawthorne, California and active in the NPI registry since September 2019. The organization lists Christopher Tak Lau, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1336790914
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNORTHEAST COMMUNITY CLINIC
Location Address4455 W 117TH ST STE 502Hawthorne, CA 90250-2261
Mailing Address2550 W Main St Ste 301Alhambra, CA 91801-7003 · (626) 457-6900 · Fax (626) 457-5022
Phone(424) 236-4800
Fax(424) 236-4801
Organization SubpartNo
Authorized OfficialChristopher Tak LauExecutive Director · (626) 457-6900
Enumeration DateSeptember 24, 2019
Last NPPES UpdateOctober 15, 20212 updates tracked since enumeration
NPPES CertifiedOctober 15, 2021
✔ NPI 1336790914 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
4455 W 117TH ST STE 502, Hawthorne, CA 90250
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Other Providers at the Same Location NPPES

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

XIN CHEN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4455 W 117TH ST STE 502
HAWTHORNE, CA 90250
Los Angeles County (424) 236-4800

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 1336790914. It was assigned to this organization in the NPPES registry on September 24, 2019.

Where is Northeast Community Clinic located?

Northeast Community Clinic is located at 4455 W 117th St Ste 502, Hawthorne, CA 90250. The listed phone number is (424) 236-4800.

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.

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.