COMPREHENSIVE COMMUNITY HEALTH CENTERS NPI 1386824688

NPI Information

NPI: 1386824688
Provider Name: COMPREHENSIVE COMMUNITY HEALTH CENTERS
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 05D1015150

Address:
801 S CHEVY CHASE DR
#20
GLENDALE, CA
ZIP 91205
Phone: (818) 265-2210
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COMPREHENSIVE COMMUNITY HEALTH CENTERS is a general practice in Glendale, CA. COMPREHENSIVE COMMUNITY HEALTH CENTERS NPI is 1386824688. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

801 S CHEVY CHASE DR
#20
GLENDALE, CA
ZIP 91205-431
Phone: (818) 265-2210
Fax: (818) 291-0291

The provider's authorized official is Flora Poladyan .
The authorized official title is Coo and has the following contact phone number (818) 265-2210.

The CLIA number assigned to this NPI record is 05D1015150 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/5/2007 and was last updated on 11/5/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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