COMPREHENSIVE COMMUNITY HEALTH CENTERS INC NPI 1356362743

NPI Information

NPI: 1356362743
Provider Name: COMPREHENSIVE COMMUNITY HEALTH CENTERS INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D1058986

Address:
801 S. CHEVY CHASE DRIVE
250
GLENDALE, CA
ZIP 91205
Phone: (818) 265-2264
Get Directions

COMPREHENSIVE COMMUNITY HEALTH CENTERS INC is a family medicine in Glendale, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. COMPREHENSIVE COMMUNITY HEALTH CENTERS INC NPI is 1356362743. 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 DRIVE
250
GLENDALE, CA
ZIP 91205
Phone: (818) 265-2264
Fax: (818) 265-2263

The provider's authorized official is Flora Poladyan .
The authorized official title is Coo and has the following contact phone number (818) 630-6106.

The CLIA number assigned to this NPI record is 05D1058986 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 2/24/2022.

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	Primary
1	1041C0700X	Social Worker	Clinical	No
2	171M00000X	Case Manager/Care Coordinator		No
3	207R00000X	Internal Medicine		No
4	207V00000X	Obstetrics & Gynecology		No
5	208000000X	Pediatrics		No
6	207Q00000X	Family Medicine		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	FHC71165F	MEDICAID	CALIFORNIA

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: 4/28/2024

NPI Synchronization or Removal

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