Angeles Comprehensive Community Clinic, Inc. in Los Angeles - Clinic/center

Angeles Comprehensive Community Clinic, Inc. - NPI 1457470684

Angeles Comprehensive Community Clinic, Inc. is a Clinic/center in Los Angeles, California. Angeles Comprehensive Community Clinic, Inc. practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Angeles Comprehensive Community Clinic, Inc. is 1457470684. The last update date is 2014-08-26.

Angeles Comprehensive Community Clinic, Inc.'s current location address is 3920 Eagle Rock Blvd., Los Angeles, California. You can contact this provider via phone number 3232555225 and fax number 3232555229. The mailing address for Angeles Comprehensive Community Clinic, Inc. is 3920 Eagle Rock Blvd., Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Angeles Comprehensive Community Clinic, Inc.
Address 3920 Eagle Rock Blvd., Los Angeles, California
Phone Number 3232555225
Fax Number 3232555229
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Kazarova Liana
Telephone Number 3232555225

NPI Number Detail

NPI Number 1457470684
Provider Enumeration Date 2007-03-28
Last Updated Date 2014-08-26

Provider Mailing Address Detail

Address 3920 Eagle Rock Blvd.
City Los Angeles
State California (CA)
Post Code 900653606
Phone Number 3232555225
Fax Number 3232555229

Provider's Primary Taxonomy Detail

Speciality Clinic/center
Taxonomy 261Q00000X
Licence No 550000708
Definition:
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
OXG182 CA BLUE CROSS
ZZZ552884 CA BLUE SHIELD
1326349960 CA NPI
91355 CA HEALTHY FAMILY ENROLLMENT ENTI
CB217375 CA MEDICARE PTAN
1457470684 CA --
G56432MM2 CA LA CARE
1427355981 CA NPI
8370190013 CA CIGNA
1811043474 CA NPI

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FAQs about Angeles Comprehensive Community Clinic, Inc.

What is the unique identification code assigned to Angeles Comprehensive Community Clinic, Inc. by the Centers for Medicare & Medicaid Services?

The Angeles Comprehensive Community Clinic, Inc. has been issued the NPI (National Provider Identifier) 1457470684. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Angeles Comprehensive Community Clinic, Inc.'s facilities are situated?

The facilities of Angeles Comprehensive Community Clinic, Inc. are physically located at the following address: 3920 Eagle Rock Blvd., Los Angeles, CA, 900653606.

What is Angeles Comprehensive Community Clinic, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Angeles Comprehensive Community Clinic, Inc. is Clinic/center, and the taxonomy classification code that categorizes this area of expertise is 261Q00000X.

On what date did the Angeles Comprehensive Community Clinic, Inc. receive the assignment of its 1457470684 from the Centers for Medicare & Medicaid Services?

The Angeles Comprehensive Community Clinic, Inc. was issued its 1457470684 by the Centers for Medicare & Medicaid Services on 2007-03-28.

As of what date was the information pertaining to Angeles Comprehensive Community Clinic, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Angeles Comprehensive Community Clinic, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-08-26.

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