| Aghaby Comprehensive Community Health Center | |
|
349 W Compton Blvd Compton CA 90220-3110 | |
| (310) 438-2151 | |
| (424) 217-4921 |
| Full Name | Aghaby Comprehensive Community Health Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 349 W Compton Blvd, Compton, California |
| Authorized Official Name and Position | Nagy P Bebawy (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3104382151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aghaby Comprehensive Community Health Center 349 W Compton Blvd Compton CA 90220-3110 Ph: (310) 438-2151 | Aghaby Comprehensive Community Health Center 349 W Compton Blvd Compton CA 90220-3110 Ph: (310) 438-2151 |
| NPI Number | 1922490960 |
|---|---|
| Provider Enumeration Date | 02/27/2015 |
| Last Update Date | 02/27/2015 |
| Medicare PECOS PAC ID | 3476851817 |
|---|---|
| Medicare Enrollment ID | O20160418002225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922490960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nagy P Bebawy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558434464 PECOS PAC ID: 3072618636 Enrollment ID: I20070410000740 |
| Provider Name | Jessica Barragan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598107096 PECOS PAC ID: 8729340922 Enrollment ID: I20180328002312 |
| Provider Name | Gity Qader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124612080 PECOS PAC ID: 5092105411 Enrollment ID: I20211129001649 |
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