GOOD NEIGHBOR CLINIC CRENSHAW BOULEVARD
NPI 1689073595
Clinic/Center in Los Angeles, CA

Active since August 15, 2014
4300 CRENSHAW BLVD., LOS ANGELES, CA 90008(323) 298-1668(323) 298-0458 Get Directions Write a Review

NPPES record last updated: May 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 30, 2017 (2 updates tracked since 2017).

About Good Neighbor Clinic Crenshaw Boulevard NPPES

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

GOOD NEIGHBOR CLINIC CRENSHAW BOULEVARD (NPI 1689073595), doing business as Good Neighbor Clinic, Amc, is a healthcare organization registered as a clinic/center in Los Angeles, California and active in the NPI registry since August 2014. The organization maintains a secondary practice location in Los Angeles and lists Daniel Shane Sheibani Davidson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1689073595
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGOOD NEIGHBOR CLINIC A MEDICAL CORPORATION
Location Address4300 CRENSHAW BLVD.Los Angeles, CA 90008
Mailing Address1270 S Alfred St Unit 1064Los Angeles, CA 90035-2506 · (310) 212-1500
Fax(323) 298-0458
Organization SubpartNo
Authorized OfficialDaniel Shane Sheibani DavidsonAdministrator · (310) 212-1500
Enumeration DateAugust 15, 2014
Last NPPES UpdateMay 24, 20242 updates tracked since enumeration
NPPES CertifiedMay 24, 2024
NPI 1689073595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedGeneral PracticeTaxonomy 208D00000X · License A31491 (CA)
4300 CRENSHAW BLVD., Los Angeles, CA 90008

Other Names 2

Other NameGood Neighbor Clinic Crenshaw Boulevard
Former Legal Business NameGood Neighbor Clinic, Amc

Secondary Practice Location 1

Location 11425 W Manchester Ave Ste ALos Angeles, CA 90047-5436 · Phone (323) 991-2300

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Family Medicine
4300 CRENSHAW BLVD.
LOS ANGELES, CA 90008

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 Good Neighbor Clinic A Medical Corporation's NPI number?

The NPI number for Good Neighbor Clinic A Medical Corporation is 1689073595. It was assigned to this organization in the NPPES registry on August 15, 2014. The provider is also known as Good Neighbor Clinic Crenshaw Boulevard. The provider was formerly known as Good Neighbor Clinic, Amc.

Where is Good Neighbor Clinic A Medical Corporation located?

Good Neighbor Clinic A Medical Corporation is located at 4300 Crenshaw Blvd., Los Angeles, CA 90008. The listed phone number is (323) 298-1668.

What is Good Neighbor Clinic A Medical Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Good Neighbor Clinic A Medical Corporation was last updated on May 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.