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HAGOS HABTEZGHI MD MEDICAL CORPORATION NPI 1811257363


NPI Information

NPI: 1811257363
Provider Name: HAGOS HABTEZGHI, MD MEDICAL CORPORATION

Doing Business As: FAMILY&COMMUNITY MEDICAL CLINIC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
9901 COMPTON AVE
LOS ANGELES, CA
ZIP 90002
Phone: (323) 835-8401
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HAGOS HABTEZGHI, MD MEDICAL CORPORATION is a primary care clinic center in Los Angeles, CA. HAGOS HABTEZGHI, MD MEDICAL CORPORATION NPI is 1811257363. The provider is registered as an organization entity type.
The provider Is Doing Business As Family&community Medical Clinic.

The provider's business location address is:

9901 COMPTON AVE
LOS ANGELES, CA
ZIP 90002-850
Phone: (323) 835-8401
Fax: (323) 835-8405

The provider's authorized official is Hagos Habtezghi .
The authorized official title is Medical Director and has the following contact phone number (323) 835-8401.

The enumeration date for this NPI number is 5/17/2012 and was last updated on 5/17/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary Care00C415001CALIFORNIAYes

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

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