HOPE COMMUNITY CARE CLINIC INC. NPI 1114382421

NPI Information

  • NPI: 1114382421
  • Provider Name: HOPE COMMUNITY CARE CLINIC, INC.
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • CLIA Number: 05D2221261
  • Address: 11273 LAUREL CANYON BLVD STE 2
    SAN FERNANDO, CA
    ZIP 91340
  • Phone: (818) 853-2220

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NPI Details

HOPE COMMUNITY CARE CLINIC, INC. is a multi-specialty clinic center in San Fernando, CA. HOPE COMMUNITY CARE CLINIC, INC. NPI is 1114382421. The provider is registered as an organization entity type.

The provider's business location address is:

11273 LAUREL CANYON BLVD STE 2
SAN FERNANDO, CA
ZIP 91340-357
Phone: (818) 853-2220
Fax: (818) 853-2221

The provider's authorized official is Angel Samvalian .
The authorized official title is President and has the following contact phone number (818) 853-2220.

The CLIA number assigned to this NPI record is 05D2221261 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/31/2015 and was last updated on 1/7/2020.

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
1261QM1300XClinic/CenterMulti-SpecialtyYes

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: 3/30/2025

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