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All-Inclusive Community Health Center

Clinic/Center, Federally Qualified Health Center (FQHC) in Northridge, CA. Organization (NPI-2).

NPI number1982179008
StatusActive
Last updated in NPPESNov 15, 2018

Details

NPI
1982179008
Entity type
Organization (NPI-2)
Legal business name
All-Inclusive Community Health Center
Organization subpart
No
Enumeration date
Oct 4, 2018
Last updated
Nov 15, 2018

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)––Yes
261QC1500X Clinic/Center, Community Health––
261QP2300X Clinic/Center, Primary Care––

Practice location

17114 Devonshire St Ste 200
Northridge, CA 91325-1619

Phone 818-646-1771 · Fax 818-855-2335

Mailing address

1311 N San Fernando Blvd
Burbank, CA 91504-4236

Phone 818-843-9900 · Fax 818-843-9909

Authorized official

Marine Dzhgalyan
Ceo
8188439900

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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