COMPREHENSIVE COMMUNITY HEALTH CENTERS INC NPI 1679553192

NPI Information

NPI: 1679553192
Provider Name: COMPREHENSIVE COMMUNITY HEALTH CENTERS INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address: 1704 COLORADO BLVD
LOS ANGELES, CA
ZIP 90041
Phone: (323) 256-4116

Map and Directions

Get Directions

NPI Details

COMPREHENSIVE COMMUNITY HEALTH CENTERS INC is a family medicine in Los Angeles, 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 1679553192. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1704 COLORADO BLVD
LOS ANGELES, CA
ZIP 90041-338
Phone: (323) 256-4116
Fax: (323) 478-9454

The provider's authorized official is Flora Poladyan .
The authorized official title is Coo and has the following contact phone number (323) 454-4481.

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	171M00000X	Case Manager/Care Coordinator	No
2	207R00000X	Internal Medicine	No
3	207V00000X	Obstetrics & Gynecology	No
4	207Y00000X	Otolaryngology	No
5	208000000X	Pediatrics	No
6	208D00000X	General Practice	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	FHC71014F	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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI