# MEDACCESS COMMUNITY HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518729219
- **Authorized official:** MOUSHEG EBRAHIMIAN PHARMD (CEO)
- **Authorized official phone:** (818) 426-0810

## Contact information

- **Practice address:** 10823 OXNARD ST, NORTH HOLLYWOOD, CA 91606-5020
- **Practice address phone:** (818) 426-0810
- **Practice address fax:** (818) 450-0451
- **Mailing address:** 2629 N KEYSTONE ST, BURBANK, CA 91504-2113
- **Mailing address phone:** (818) 426-0810
- **Mailing address fax:** (818) 450-0451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/29/2024
- **Last updated:** 01/29/2024