# FC COMPREHENSIVE HEALTHCARE A PROFESSIONAL MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FC Comprehensive Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861106908
- **Authorized official:** TEODULO BONZON LCSW (CFO)
- **Authorized official phone:** (818) 846-4469

## Contact information

- **Practice address:** 1410 W ALONDRA BLVD, COMPTON, CA 90220-3533
- **Practice address phone:** (310) 933-8755
- **Practice address fax:** (310) 933-8738
- **Mailing address:** 4525 EAGLE ROCK BLVD, LOS ANGELES, CA 90041-3214
- **Mailing address phone:** (818) 846-4469

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/12/2023
- **Last updated:** 06/13/2024