Organization · Type 2 NPI
Angeles Comprehensive Community Clinic, Inc.
Clinic/Center · Los Angeles, CA
NPI number
1457470684
Active
Practice location
3920 Eagle Rock Blvd., Suite A
Los Angeles, CA 90065-3606
Fax (323) 255-5229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 550000708 (CA) |
Clinic/Center: 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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About NPI 1457470684
Angeles Comprehensive Community Clinic, Inc.'s National Provider Identifier is 1457470684, issued on Mar 28, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 26, 2014.