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 |
Post Comment/ Review Below
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.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA