Comprehensive Community Health Centers INC
Family Medicine in Los Angeles, CA. Organization (NPI-2).
NPI number1679553192
StatusActive
Last updated in NPPESFeb 24, 2022
Details
- NPI
- 1679553192
- Entity type
- Organization (NPI-2)
- Legal business name
- Comprehensive Community Health Centers INC
- Organization subpart
- No
- Enumeration date
- Jan 19, 2006
- Certification date
- Feb 24, 2022
- Last updated
- Feb 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 207V00000X | Obstetrics & Gynecology | – | – | |
| 207Y00000X | Otolaryngology | – | – | |
| 208000000X | Pediatrics | – | – | |
| 208D00000X | General Practice | – | – |
Practice location
1704 Colorado BlvdLos Angeles, CA 90041-1338
Phone 323-256-4116 · Fax 323-478-9454
Mailing address
801 S Chevy Chase Dr20
Glendale, CA 91205-4431
Phone 323-256-4116
Authorized official
Flora Poladyan
Coo
3234544481
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