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Organization
COMPREHENSIVE COMMUNITY HEALTH CENTERS INC
Active
Organization
COMPREHENSIVE COMMUNITY HEALTH CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLORA POLADYAN (COO)
(818) 630-6106
Entity
Organization
Contact information
Practice address
12157 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-3204
(818) 755-8000
(818) 755-8006
Mailing address
801 S CHEVY CHASE DR, 20, GLENDALE, CA 91205-4431
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC71013F
—
CA
Enumeration date
01/19/2006
Last updated
02/24/2022
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