LIVINGSTONE COMMUNITY HEALTH CLINIC
NPI 1952662686
Clinic/Center - Federally Qualified Health Center (FQHC) in Stanton, CA

Q: What is Livingstone Community Development Corporation'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 May 29, 2012CLIA 05D2052364 · Waiver

12362 BEACH BLVD STE 10, STANTON, CA 90680(714) 248-9500(714) 622-4943 Get Directions Write a Review

NPPES record last updated: June 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Livingstone Community Health Clinic NPPES

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

LIVINGSTONE COMMUNITY HEALTH CLINIC (NPI 1952662686) is a healthcare organization registered as a federally qualified health center (fqhc) in Stanton, California and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through January 8, 2027 and lists Kyung I. Park, Ceo, as its authorized official.

NPPES Registry Identity

NPI1952662686

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameLIVINGSTONE COMMUNITY DEVELOPMENT CORPORATION

Location Address12362 BEACH BLVD STE 10Stanton, CA 90680-3944

Mailing Address12362 Beach Blvd Ste 10Stanton, CA 90680-3944 · (714) 248-9500 · Fax (714) 622-4943

Phone(714) 248-9500

Fax(714) 622-4943

Organization SubpartNo

Authorized OfficialKyung I. ParkCeo · (714) 248-9500

Enumeration DateMay 29, 2012

Last NPPES UpdateJune 20, 2020

NPPES CertifiedJune 20, 2020

✔ NPI 1952662686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X

12362 BEACH BLVD STE 10, Stanton, CA 90680

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Other Names 1

Doing Business AsLivingstone Community Health Clinic

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2052364

Livingstone Community Health Clinic · Stanton, CA

Active · expires Jan 8, 2027

CLIA Number05D2052364

Laboratory TypeCommunity Clinic

Certificate Effective DateJanuary 9, 2025

Certificate Expiration DateJanuary 8, 2027

Laboratory DirectorKyung I Park

Laboratory Phone(714) 248-9500

Laboratory LocationLivingstone Community Health Clinic12362 Beach Blvd., Suite 10, Stanton, CA 90680

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

DR. JUSTIN TONY CHUNG D.D.S.

Dentist