| SHAPE |
Point |
| HCC_FCT_ID |
3373 |
| SITE_SOURCE_ID |
2A49BB10-7552-46C9-975F-2DC0817A3325 |
| SITE_NM |
CHLA Division of Adolescent and Young Adult Medicine |
| UDS_NUM |
|
| SITE_PHONE_NUM |
323-361-2153 |
| SITE_URL |
|
| TOT_OPER_HR_PER_WEEK |
12 |
| HCC_GRANTEE_ID |
|
| GRANTEE_SOURCE_ID |
F6C76434-A498-4B1A-BFF8-F8183CB07141 |
| GRANT_NUM |
H80CS00139 |
| GRANTEE_NM |
NORTHEAST VALLEY HEALTH CORPORATION |
| GRANTEE_ORG_DESC |
Corporate Entity, Federal Tax Exempt |
| MHC_SUB_PROG_IND |
N |
| CH_SUB_PROG_IND |
N |
| SBHC_SUB_PROG_IND |
N |
| PHPC_SUB_PROG_IND |
N |
| HCH_SUB_PROG_IND |
N |
| SITE_ADDRESS_ID |
3512 |
| SITE_ADDRESS_SOURCE_ID |
E8ED41F5-5D40-4D56-8FBD-2DE2D80ED6B8 |
| SITE_ESR_SOURCE_ID |
250BDF00-EAC7-4784-826E-5BC290DF31A3 |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
5000 W Sunset Blvd STE 440 |
| SITE_CITY |
Los Angeles |
| SITE_STATE_ABBR |
CA |
| SITE_ZIP_CD |
90027-5861 |
| US_MEXICO_BORDER_100KM_IND |
N |
| SITE_POP_TYP_DESC |
Urban |
| HCC_LOC_SETTING_ID |
7 |
| HCC_LOC_SETTING_DESC |
All Other Clinic Types |
| HCC_STATUS_ID |
1 |
| HCC_STATUS_DESC |
Active |
| HCC_LOC_ID |
1 |
| HCC_LOC_DESC |
Permanent |
| HCC_TYP_ID |
2 |
| HCC_TYP_DESC |
Service Delivery Site |
| HCC_OPER_ID |
2 |
| HCC_OPER_DESC |
Subrecipient |
| HCC_OPER_SCHD_ID |
1 |
| HCC_OPER_SCHD_DESC |
Full-Time |
| HCC_CLND_SCHD_ID |
1 |
| HCC_CLND_SCHD_DIM_DESC |
Year-Round |
| COUNTY_FIPS_CD |
037 |
| COUNTY_NM |
Los Angeles |
| COUNTY_DESC |
County |
| LIST_BOX_COUNTY_NM |
Los Angeles County |
| STATE_COUNTY_FIPS_CD |
06037 |
| STATE_FIPS_CD |
06 |
| STATE_NM |
California |
| US_SENATE_NM1 |
Alex Padilla |
| US_SENATE_NM2 |
Adam B. Schiff |
| REGION_CD |
09 |
| REGION_NM |
Region 9 |
| US_MEXICO_BORDER_COUNTY_IND |
N |
| CONG_DIST_NUM |
30 |
| CONG_DIST_NM |
California District 30 |
| STATE_FIPS_CD_CONG_DIST_NUM |
0630 |
| REPRESENTATIVE_NM |
Laura Friedman |
| REPRESENTATIVE_URL |
https://friedman.house.gov/ |
| BPHC_SITE_NUM |
BPS-H80-013028 |
| BHCMISID |
|
| FQHC_LAL_NUM |
|
| FQHC_ORG_NM |
|
| FQHC_ADDRESS |
|
| FQHC_CITY |
|
| FQHC_STATE_ABBR |
|
| FQHC_ZIP_CD |
|
| FQHC_ADMIN_CONTACT_NM |
|
| FQHC_ADMIN_CONTACT_PHONE_NUM |
|
| FQHC_ADMIN_CONTACT_EMAIL |
|
| RURAL_IND |
N |
| GRANT_SOURCE_ID |
39EF39C7-440A-4784-9278-44BCE2A3706D |
| ADMIN_PHONE_NUM |
|
| SITE_FAX_NUM |
|
| REGION_ID |
9 |
| STATE_ID |
5 |
| COUNTY_ID |
206 |
| CONG_DIST_ID |
8958 |
| CMN_REGION_CD |
09 |
| CMN_REGION_NM |
Region 9 |
| CMN_STATE_NM |
California |
| CMN_STATE_ABBR |
CA |
| CMN_STATE_FIPS_CD |
06 |
| CMN_STATE_COUNTY_FIPS_CD |
06037 |
| CMN_COUNTY_NM_STATE_ABBR |
Los Angeles County, CA |
| CMN_CONG_NUM |
119 |
| CMN_STATE_FIPS_CONG_DIST_NUM |
0630 |
| CMN_CONG_DIST_NM |
California District 30 |
| CMN_ZIP_CD |
90027 |
| CMN_CITY_NUM |
Los Angeles, CA |
| LOC_NAME |
01-ESRI,SO |
| SCORE |
100 |
| APPROX_VALUE_CD |
N |
| LOC_NAME_DESC |
Data was matched at the Address level using AGOL, and Service Objects |
| HCP_COVID19_TEST_CAP_STATUS |
Yes |
| HCP_COVID19_DU_TEST_CAP_STATUS |
No |
| HCP_COVID19_TELE_CAP_STATUS |
Yes |
| HCP_COVID19_TEST_CAP |
As of 05/28/2021, this health center reported providing COVID-19 testing at one or more sites. Please call the center for more information. |
| HCP_COVID19_TELEHEALTH_CAP_TXT |
As of 05/28/2021, this health center reported providing COVID-19 testing and services via telehealth at one or more sites. Please call the center for more information. |