T.H.E. Clinic, Inc.

LBN: T.H.E. Clinic, Inc.
T.H.E. Clinic, Inc. is an health care organization with primary practice located at 3721 S La Brea Ave , Los Angeles CA 90016-5309. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. T.H.E. Clinic, Inc. can be contacted via phone (323) 730-1920, or through Shiepe, Clifford D via phone (323) 730-1920.

Contact Information

Primary practice address
3721 S La Brea Ave Los Angeles CA 90016-5309
Phone: (323) 730-1920
Fax: (213) 742-6785
Website:
Map and Directions
Authorized official contact:
Name: Shiepe, Clifford D MS
Phone: (323) 730-1920

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 960001020 California

Profile Details

NPI number 1609251735
LBN Legal business name T.H.E. Clinic, Inc.
DBA Doing business as
Authorized official Shiepe, Clifford D MS
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2015
Last updated Jul 30th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609251735 NPPES
California MEDICAID 9600001020

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