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KEDREN COMMUNITY CARE CLINIC - MOBILE UNIT
NPI 1699580068
Clinic/Center - Federally Qualified Health Center (FQHC) in Los Angeles, CA

Active since February 11, 2025
4211 AVALON BLVD, 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, Feb 11, 2025 (2 updates tracked since 2025).

About Kedren Community Care Clinic - Mobile Unit NPPES

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

KEDREN COMMUNITY CARE CLINIC - MOBILE UNIT (NPI 1699580068) is a healthcare organization registered as a federally qualified health center (fqhc) in Los Angeles, California and active in the NPI registry since February 2025. The organization lists Leticia Perez, Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1699580068
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameKEDREN COMMUNITY CARE CLINIC - MOBILE UNIT
Location Address4211 AVALON BLVDLos 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 DateFebruary 11, 2025
Last NPPES UpdateApril 10, 20262 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
✔ NPI 1699580068 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, Los Angeles, CA 90011
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Other Names 1

Other NameKedren Community Care Clinic - Mobile Unit

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 Care Clinic - Mobile Unit's NPI number?

The NPI number for Kedren Community Care Clinic - Mobile Unit is 1699580068. It was assigned to this organization in the NPPES registry on February 11, 2025.

Where is Kedren Community Care Clinic - Mobile Unit located?

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

What is Kedren Community Care Clinic - Mobile Unit'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 - Mobile Unit 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.