HARBOR-UCLA FAMILY HEALTH CENTER
NPI 1699397513
Clinic/Center in Harbor City, CA

NPI Status: Active since May 13, 2020

Contact Information

1403 LOMITA BLVD FL 2
HARBOR CITY, CA
ZIP 90710
Phone: (310) 602-2600
Fax: (310) 326-7205

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  • Organization
  • Clinic/Center
  • CLIA Number: 05D1095149
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 02-02-2027

About HARBOR-UCLA FAMILY HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Harbor-ucla Family Health Center, a provider established in Harbor City, California operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1699397513 assigned on May 2020. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Harbor-ucla Family Health Center. The authorized official of this NPI record is Ms. Andrea Turner Jd, Mba, Cnmt, Ache (Ceo)

NPI
1699397513
Provider Legal Name
COUNTY OF LOS ANGELES
Other Organization Name
HARBOR-UCLA FAMILY HEALTH CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1403 LOMITA BLVD FL 2 HARBOR CITY, CA 90710
Location Phone
(310) 602-2600
Location Fax
(310) 326-7205
Mailing Address
5555 FERGUSON DR STE 310-15 COMMERCE, CA 90022
Mailing Phone
(323) 914-7773
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-13-2020
Last Update Date
04-12-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. ANDREA TURNER JD, MBA, CNMT, ACHE

Authorized Official Title
CEO
Authorized Official Phone
(424) 306-6580

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D1095149
Facility Type
Community Clinic
Certificate Effective Date
February 03, 2025
Certificate Expiration Date
February 02, 2027
Laboratory Director
RACHEL H. RANGWALA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Harbor-ucla Family Health Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1699397513
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26189691452
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 6 + 9 + 1 + 4 + 5 + 2 + 24 = 77
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 77 = 33

The NPI number 1699397513 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750569885DR. TINH VUONG D.O
Individual
Family Medicine (Adult Medicine)1403 LOMITA BLVD FL 2
HARBOR CITY, CA 90710
(310) 534-6203
1861949323MR. ALLEN NOWIKOW DIP PHARAM
Individual
Pharmacist (Ambulatory Care)1403 LOMITA BLVD FL 2
HARBOR CITY, CA 90710
(310) 534-6247
1912131558 RICARDO HAMILTON M.D
Individual
Internal Medicine1403 LOMITA BLVD FL 2
HARBOR CITY, CA 90710
(310) 257-4991
1013326594MRS. JULIANNE FLORES LUCIA LCSW
Individual
Social Worker (Clinical)1403 LOMITA BLVD FL 2
HARBOR CITY, CA 90710
(310) 602-2577

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699397513, enumerated in the NPI registry as an "organization" on May 13, 2020

The provider is located at 1403 Lomita Blvd Fl 2 Harbor City, Ca 90710 and the phone number is (310) 602-2600

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

The provider's CLIA number is 05D1095149 for a "community clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 13, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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