COMPREHENSIVE COMMUNITY HEALTH CENTERS INC NPI 1871573360

NPI Information

NPI: 1871573360
Provider Name: COMPREHENSIVE COMMUNITY HEALTH CENTERS INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D2119216

Address:
12157 VICTORY BLVD
NORTH HOLLYWOOD, CA
ZIP 91606
Phone: (818) 755-8000
Get Directions

COMPREHENSIVE COMMUNITY HEALTH CENTERS INC is a family medicine in North Hollywood, 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 1871573360. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12157 VICTORY BLVD
NORTH HOLLYWOOD, CA
ZIP 91606-204
Phone: (818) 755-8000
Fax: (818) 755-8006

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 05D2119216 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/19/2006 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	Primary
1	208000000X	Pediatrics	No
2	261Q00000X	Clinic/Center	No
3	171M00000X	Case Manager/Care Coordinator	No
4	207R00000X	Internal Medicine	No
5	207V00000X	Obstetrics & Gynecology	No
6	207Y00000X	Otolaryngology	No
7	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	FHC71013F	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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