Organization
ALL-INCLUSIVE COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINE DZHGALYAN (CEO)
(818) 843-9900
Entity
Organization
Contact information
Practice address
3920 EAGLE ROCK BLVD STE A, LOS ANGELES, CA 90065-3606
(323) 255-5225
(323) 255-5229
Mailing address
1311 N SAN FERNANDO BLVD, BURBANK, CA 91504-4236
(818) 843-9900
(818) 843-9909
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
CA
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
CA
Enumeration date
11/12/2015
Last updated
11/15/2018
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