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
17114 DEVONSHIRE ST STE 200, NORTHRIDGE, CA 91325-1619
(818) 646-1771
(818) 855-2335
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
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
10/04/2018
Last updated
11/15/2018
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