GOLD STAR COMMUNITY HEALTH CENTER, INC.
NPI 1124696349
Clinic/Center - Mental Health (Including Community Mental Health Center) in N Hollywood, CA
About Gold Star Community Health Center, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GOLD STAR COMMUNITY HEALTH CENTER, INC. (NPI 1124696349) is a healthcare organization registered as a mental health (including community mental health center) in N Hollywood, California and active in the NPI registry since June 2021. The organization lists Ella Undzhyan, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2263969
Gold Star Community Health Center, Inc. · North Hollywood, CAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Gold Star Community Health Center, Inc.'s NPI number?
The NPI number for Gold Star Community Health Center, Inc. is 1124696349. It was assigned to this organization in the NPPES registry on June 14, 2021.
Where is Gold Star Community Health Center, Inc. located?
Gold Star Community Health Center, Inc. is located at 6343 Vineland Ave, N Hollywood, CA 91606. The listed phone number is (747) 877-2789.
What is Gold Star Community Health Center, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
When was this NPI record last updated?
The NPPES record for Gold Star Community Health Center, Inc. was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Gold Star Community Health Center, Inc. · NPI 1124696349
Mental Health (Including Community Mental Health Center) organization in N Hollywood, California. Organization record, active in the CMS NPPES registry since June 14, 2021.
## Identity
- **NPI:** 1124696349 (Entity type: Organization)
- **Enumerated:** June 14, 2021
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Ella Undzhyan, CEO
## Practice location
- **Address:** 6343 VINELAND AVE, N Hollywood, CA 91606-3721
- **Phone:** (747) 877-2789
## Record status
- **NPPES last updated:** June 14, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124696349) · Data from the CMS NPPES public registry.