All-inclusive Community Health Center | |
3920 Eagle Rock Blvd Ste A Los Angeles CA 90065-3606 | |
(323) 255-5225 | |
(323) 255-5229 |
Full Name | All-inclusive Community Health Center |
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Speciality | Clinic/Center |
Location | 3920 Eagle Rock Blvd Ste A, Los Angeles, California |
Authorized Official Name and Position | Marine Dzhgalyan (CEO) |
Authorized Official Contact | 8188439900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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All-inclusive Community Health Center 1311 N San Fernando Blvd Burbank CA 91504-4236 Ph: (818) 843-9900 | All-inclusive Community Health Center 3920 Eagle Rock Blvd Ste A Los Angeles CA 90065-3606 Ph: (323) 255-5225 |
NPI Number | 1174996177 |
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Provider Enumeration Date | 11/12/2015 |
Last Update Date | 11/15/2018 |
Medicare PECOS PAC ID | 5294905006 |
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Medicare Enrollment ID | O20160126002138 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174996177 | NPI | - | NPPES |
PENDING | Medicaid | CA |
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