LIFELINE COMMUNITY CLINIC
NPI 1467873265
General Practice in Los Angeles, CA

Active since December 20, 2013
11905 S CENTRAL AVE, SUITE 100, LOS ANGELES, CA 90059(323) 476-1316(323) 476-1317 Get Directions Write a Review

NPPES record last updated: December 20, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • General Practice

About LIFELINE COMMUNITY CLINIC

This page provides the complete NPI Profile along with additional information for Lifeline Community Clinic, a primary care provider established in Los Angeles, California operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1467873265 assigned on December 2013. The practitioner's primary taxonomy code is 208D00000X with license number A82463 (CA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Lifeline Community Clinic. The authorized official of this NPI record is Donwilliam Yeboah Cna (Owner/operator)

NPI
1467873265 Verify this NPI
Provider Legal Name
SUNKWA COMMUNITY FOUNDATION
Other Organization Name
LIFELINE COMMUNITY CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
11905 S CENTRAL AVE SUITE 100 LOS ANGELES, CA 90059
Location Phone
(323) 476-1316
Location Fax
(323) 476-1317
Mailing Address
11905 S CENTRAL AVE SUITE 100 LOS ANGELES, CA 90059
Mailing Phone
(323) 476-1316
Mailing Fax
(323) 476-1317
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-20-2013
Last Update Date
12-20-2013
Code Navigator

A primary care provider (PCP) like Lifeline Community Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
A82463
License State
CA
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DONWILLIAM YEBOAH CNA

Authorized Official Title
OWNER/OPERATOR
Authorized Official Phone
(323) 476-1316

Reviews for LIFELINE COMMUNITY CLINIC

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Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Dentist (General Practice)
11905 S CENTRAL AVE, #203
LOS ANGELES, CA 90059
Counselor
11905 S CENTRAL AVE, SUITE 205
LOS ANGELES, CA 90059
Counselor (Addiction (Substance Use Disorder))
11905 S CENTRAL AVE, SUITE 205
LOS ANGELES, CA 90059
Counselor (Addiction (Substance Use Disorder))
11905 S CENTRAL AVE, SUITE 205
LOS ANGELES, CA 90059
Counselor (Addiction (Substance Use Disorder))
11905 S CENTRAL AVE, STE 205
LOS ANGELES, CA 90059
Counselor (Addiction (Substance Use Disorder))
11905 S CENTRAL AVE, SUITE 205
LOS ANGELES, CA 90059
Counselor (Addiction (Substance Use Disorder))
11905 S CENTRAL AVE, # 205
LOS ANGELES, CA 90059
Counselor (Addiction (Substance Use Disorder))
11905 S CENTRAL AVE, SUITE 205
LOS ANGELES, CA 90059
Counselor (Addiction (Substance Use Disorder))
11905 S CENTRAL AVE, SUITE NUMBER 204-205
LOS ANGELES, CA 90059
Counselor (Addiction (Substance Use Disorder))
11905 S CENTRAL AVE, SUITE NUMBER 204-205
LOS ANGELES, CA 90059
Counselor (Addiction (Substance Use Disorder))
11905 S CENTRAL AVE, SUITE 205
LOS ANGELES, CA 90059
Counselor (Addiction (Substance Use Disorder))
11905 S CENTRAL AVE, SUITE 205
LOS ANGELES, CA 90059
Dentist
11905 S CENTRAL AVE, 203
LOS ANGELES, CA 90059
Counselor (Addiction (Substance Use Disorder))
11905 S CENTRAL AVE, SUITE 205
LOS ANGELES, CA 90059
Clinic/Center (Community Health)
11905 S CENTRAL AVE, STE. 100
LOS ANGELES, CA 90059
Counselor (Addiction (Substance Use Disorder))
11905 S CENTRAL AVE, SUITE 200, 204, 205, 206
LOS ANGELES, CA 90059
Counselor (Addiction (Substance Use Disorder))
11905 S CENTRAL AVE, SUITE 200, 204, 205, 206
LOS ANGELES, CA 90059
Marriage & Family Therapist
11905 S CENTRAL AVE, 204 AND 205
LOS ANGELES, CA 90059
Counselor (Addiction (Substance Use Disorder))
11905 S CENTRAL AVE, STE 204-205
LOS ANGELES, CA 90059

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467873265, enumerated as an "organization" on December 20, 2013.

The provider is located at 11905 S CENTRAL AVE SUITE 100 LOS ANGELES, CA 90059 and the phone number is (323) 476-1316.

General Practice with taxonomy code 208D00000X.