SJ
Medical Clinic
ST. JOHN'S COMMUNITY HEALTH
1555 W 110TH ST, LOS ANGELES, CA 90047
Source updated 2026-10-16. Source-listed location, not a NursingHomes.io endorsement. Confirm operating status, care availability, and services directly.
Official provider information
- CCN
- 751084
- LTC
- NON-LTC
- NPI
- 1972845113
- ZIP
- 90047
- id
- 5616
- CITY
- LOS ANGELES
- FLAG
- Not reported
- ZIP9
- 4912
- rank
- 0.0706241
- AO CD
- Not reported
- FACID
- 630014385
- DEEMED
- 0
- T18 19
- Not reported
- ADDRESS
- 1555 W 110TH ST
- AO NAME
- Not reported
- FACNAME
- ST. JOHN'S COMMUNITY HEALTH
- FAC FDR
- PRIMARY CARE CLINIC
- HCAI ID
- 306197823
- CAPACITY
- 0
- LATITUDE
- 33.936237
- LOCATION
- (-118.3031685,33.936237)
- DATA DATE
- 2026-10-16T00:00:00
- ISFACMAIN
- N
- LONGITUDE
- -118.3031685
- CCLHO CODE
- 19
- CCLHO NAME
- LOS ANGELES
- START DATE
- 23SEP2019
- TRAUMA CTR
- Not reported
- ASPEN FACID
- CA630014385
- COUNTY CODE
- 200
- COUNTY NAME
- LOS ANGELES
- TERMINAT SW
- Not reported
- AO TRMNTN DT
- Not reported
- DMG EFCTV DT
- Not reported
- PARENT FACID
- 630015566
- TYPE OF CARE
- Not reported
- APPROVAL DATE
- 2024-04-23T00:00:00
- BUSINESS NAME
- ST. JOHN'S COMMUNITY HEALTH
- DISTRICT NAME
- LA ICF/DD/CLINICS
- FAC TYPE CODE
- COMTYC
- LICENSE NUMBER
- 550003001
- TRAUMA PED CTR
- Not reported
- DISTRICT NUMBER
- 96
- FIPS COUNTY CODE
- 6037
- LICENSED CERTIFIED
- LICENSED AND CERTIFIED
- PARTICIPATION DATE
- 2014-06-30T00:00:00
- CONTACT PHONE NUMBER
- (323) 541-1600
- FAC STATUS TYPE CODE
- OPEN
- INITIAL LICENSE DATE
- 2015-03-03T00:00:00
- BIRTHING FACILITY FLAG
- Not reported
- CAN BE DEEMED FAC TYPE
- N
- LICENSE EFFECTIVE DATE
- 2026-05-27T00:00:00
- ENTITY TYPE DESCRIPTION
- NONPROFIT CORP
- LICENSE EXPIRATION DATE
- 2027-03-02T00:00:00
- CRITICAl ACCESS HOSPITAL
- Not reported
- CAN BE CERTIFIED FAC TYPE
- Y
- LICENSE STATUS DESCRIPTION
- ACTIVE
- FAC FAC RELATIONSHIP TYPE CODE
- INTERMITTENT CLINIC
COMMUNITY EXPERIENCE
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