institution
Angeles Comprehensive Community Clinic, Inc.
Clinic/Center in Los Angeles, California
NPI 1457470684

Angeles Comprehensive Community Clinic, Inc. is a Clinic/Center based in Los Angeles, CA. Angeles Comprehensive Community Clinic, Inc. practices in Los Angeles, CA. The NPI Number for Angeles Comprehensive Community Clinic, Inc. is 1457470684 and holds a License No. 550000708 (California).

The current practice location address for Angeles Comprehensive Community Clinic, Inc. is 3920 Eagle Rock Blvd., Los Angeles, CA and can be reached out via phone at 323-255-5225 and via fax at 323-255-5229.

Location: 3920 Eagle Rock Blvd., Los Angeles, CA, 90065-3606
institution
Provider Profile Details
NPI Number
1457470684
Provider Name
Angeles Comprehensive Community Clinic, Inc.
Credential
Provider Entity Type
Organization
Address
3920 Eagle Rock Blvd., Los Angeles, CA, 90065-3606
Phone Number
323-255-5225
Fax Number
323-255-5229
Provider Enumeration Date
03/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OXG182 01 CA BLUE CROSS
ZZZ552884 01 CA BLUE SHIELD
1326349960 01 CA NPI
91355 01 CA HEALTHY FAMILY ENROLLMENT ENTITY
CB217375 01 CA MEDICARE PTAN
1457470684 05 CA
G56432MM2 01 CA LA CARE
1427355981 01 CA NPI
8370190013 01 CA CIGNA
1811043474 01 CA NPI
OO3991 01 CA HEALTH NET
1427003300 01 CA NPI
G56432F11 01 CA CARE 1ST
institution
Provider Business Practice Location Address Details
Address
3920 Eagle Rock Blvd.
City
State
Zip
90065-3606
Phone Number
323-255-5225
Fax Number
323-255-5229
person
Provider Business Mailing Address Details
Address
3920 Eagle Rock Blvd.
City
State
Zip
90065-3606
Phone Number
323-255-5225
Fax Number
323-255-5229
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
550000708 (California)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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