| Organization Name: | ST. JOHN'S WELL CHILD AND FAMILY CENTER, INC. |
| NPI Number: | 1063836526 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES J MANGIA (PRESIDENT AND CEO) |
| Mailing Address: | 3628 E Imperial Hwy Ste 301 Lynwood |
| State: | CA US |
| Postal Code: | 902622646 |
| Phone Number: | 3235411600 |
| Fax Number: | 3235411661 |
| NPI Enumeration Date: | 02/04/2014 |
| NPI Last Update Date: | 06/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0050X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Family Planning, Non-Surgical |
| Taxonomy Definition: | An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives. |