OrganizationActive
Bienvenidos Healthy Start Community Clinic at Wilson High School
NPI 1629416250 · Community Health Clinic/Center · Los Angeles, CA
Provider details
- NPI number
- 1629416250
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Bienvenidos Children'S Center, Inc.
- Organization subpart
- Yes
- Authorized official
- Jacobus Van Der Colff, Chief Financial Officer(213) 785-5923
- License
- 960001182 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4500 Multnomah St
Los Angeles, CA 90032-3703
Phone: (323) 222-0970
Fax: (323) 222-0878
Approximate (ZIP-level) locationGet directions
Mailing address
316 W 2nd St
Los Angeles, CA 90012-3504
Registry dates
- Enumerated
- 2013-06-05
- Last updated
- 2013-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.