LOS ANGELES COMMUNITY CLINIC, INC. (NPI# 1609280346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609280346 |
| Entity Type | Organization |
| Organization Name | LOS ANGELES COMMUNITY CLINIC, INC. |
| Practice Address |
1830 W Olympic Blvd Suite 124 Los Angeles CA 90006-3734 |
| Practice Telephone | 2133831183 |
| Practice Fax Number | 2133831184 |
| Mailing Telephone | 2133831183 |
| Mailing Fax Number | 2133831184 |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2016-02-19 |
| Authorized Official Name | MRS. HILDA HAROUTUNIAN (CEO/ADMINISTRATOR) |
| Authorized Official Telephone | 2133831183 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LOS ANGELES COMMUNITY CLINIC, INC. | 1830 W Olympic Blvd #124, Los Angeles, CA 90006-3734 |
| Street Address |
1830 W OLYMPIC BLVD SUITE 124 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90006-3734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568509669 | Dynamics Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 1830 W Olympic Blvd, Suite #123, Los Angeles, CA 90006-3734 | 2007-01-30 |
| 1730569229 | New Rose Home Health Care, Inc. | Home Health | 1830 W Olympic Blvd, Unit 206, Los Angeles, CA 90006-3734 | 2015-06-01 |
| 1225376213 | Paul Sucgang, D.o., Inc | Family Medicine | 1830 W Olympic Blvd, Suite 124, Los Angeles, CA 90006-3734 | 2013-01-25 |
| 1982888152 | Keyvan Amirikhorheh | General Practice | 1830 W Olympic Blvd, Unit 124, Los Angeles, CA 90006-3734 | 2007-12-24 |
| 1538348727 | Manuel Acevedo Medical Group, A Medical Corporation | General Practice | 1830 W Olympic Blvd, Ste. 124, Los Angeles, CA 90006-3734 | 2007-10-24 |
| 1164564688 | Dynamics Walkagain Rehab Inc. | Physical Therapist | 1830 W Olympic Blvd, Ste 130, Los Angeles, CA 90006-3734 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114583549 | Ruahrena Corporation | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3053 West Olympic Boulevard, Suite 301, Los Angeles, CA 90006 | 2019-05-10 |
| 1770048266 | Luxi Optometry, Inc | Ophthalmology | 3250 W. Olympic Blvd #221, Los Angeles, CA 90006 | 2019-02-08 |
| 1053895565 | Lili Mirtorabi D.d.s A Professional Corporation | Dentist | 2368 Pico Boulevard, Los Angeles, CA 90006 | 2018-09-20 |
| 1083192116 | Sanghee Hong | Nurse Practitioner | 2655 W Olympic Blvd Ste 101, Los Angeles, CA 90006 | 2018-07-31 |
| 1134638919 | Joon Hyung Kim | Chiropractor | 3130 W. Olympic Blvd., Suite 350, Los Angeles, CA 90006 | 2017-09-25 |
| 1578082988 | Judy Lee | Behavior Technician | 900 South Serrano Ave #401, Los Angeles, CA 90006 | 2017-09-18 |
| 1689126773 | Seungah Madison Lee | Acupuncturist | 3053 W. Olympic Blvd, #311, Los Angeles, CA 90006 | 2016-10-25 |
| 1790149789 | Kihyun Kim | Acupuncturist | 975 S. Vermont Ave, #201, Los Angeles, CA 90006 | 2016-04-06 |
| 1407215486 | Young Zoo Kim | Acupuncturist | 1001 S. Vermont Ave, #207, L.a., CA 90006 | 2016-02-18 |
| 1376916817 | Global Eastern Medicine Group | Acupuncturist | 1010 S. Fedora St. #101, Los Angeles, CA 90006 | 2015-11-05 |
| Find all providers in zip 90006 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083251532 | Prime Wellness Community Health Center | Clinic/Center | 1824 1/2 W 38th Pl, Los Angeles, CA 90062-1012 | 2019-12-03 |
| 1093278632 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 1060 West Exposition Blvd., Los Angeles, CA 90007 | 2019-04-10 |
| 1003367590 | Jwch Institute, Inc | Clinic/Center | 115 E. 3rd Street, Los Angeles, CA 90013-1301 | 2016-10-19 |
| 1568919108 | Jwch Institute, Inc | Clinic/Center | 3804 Broadway Pl, Los Angeles, CA 90037-1414 | 2016-09-01 |
| 1093167850 | 3c Community Clinic | Clinic/Center | 3030 W Olympic Blvd Ste 206, Los Angeles, CA 90006-6506 | 2016-07-05 |
| 1174996177 | All-inclusive Community Health Center | Clinic/Center | 3920 Eagle Rock Blvd Ste A, Los Angeles, CA 90065-3606 | 2015-11-12 |
| 1861893844 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 326 West 23rd Street, Los Angeles, CA 90007 | 2014-09-10 |
| 1649680588 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 400 W Washington Blvd Bldg E-102, Los Angeles, CA 90015-4108 | 2014-04-30 |
| 1629491089 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 1555 West 110th St, Los Angeles, CA 90047-1220 | 2014-01-21 |
| 1487086989 | Central Neighborhood Health Foundation | Clinic/Center | 2614 S Grand Ave, Los Angeles, CA 90007-2607 | 2013-08-07 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90006 |
Please comment or provide details below to improve the information on LOS ANGELES COMMUNITY CLINIC, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.