MEDI MEDI COMMUNITY HEALTH CENTER
NPI 1154892875
General Practice in Los Angeles, CA

Q: What is Medi Medi Community Health Center's NPI number?

The NPI number for Medi Medi Community Health Center is 1154892875. It was assigned to this organization in the NPPES registry on December 6, 2018.

Q: What is Medi Medi Community Health Center's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since December 06, 2018

11900 AVALON BLVD STE 100, LOS ANGELES, CA 90061(323) 999-2838 Get Directions Write a Review

NPPES record last updated: December 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2018, Dec 6, 2018 (2 updates tracked since 2018).

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About Medi Medi Community Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDI MEDI COMMUNITY HEALTH CENTER (NPI 1154892875) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since December 2018. The organization maintains 3 additional practice locations and lists Andy Piskoulian, Founder /ceo, as its authorized official.

NPPES Registry Identity

NPI1154892875

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameMEDI MEDI COMMUNITY HEALTH CENTER

Location Address11900 AVALON BLVD STE 100Los Angeles, CA 90061-2867

Mailing Address348 E Olive Ave Ste KBurbank, CA 91502-1250

Phone(323) 999-2838

Organization SubpartNo

Authorized OfficialAndy PiskoulianFounder /ceo · (310) 200-7636

Enumeration DateDecember 6, 2018

Last NPPES UpdateDecember 19, 20182 updates tracked since enumeration

✔ NPI 1154892875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedPsychologistTaxonomy 103T00000X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedChiropractorTaxonomy 111N00000X

Also ListedDentistTaxonomy 122300000X

Also ListedOptometristTaxonomy 152W00000X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedPharmacistTaxonomy 183500000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

11900 AVALON BLVD STE 100, Los Angeles, CA 90061

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Secondary Practice Locations 3

Location 14433 Tweedy BlvdSouth Gate, CA 90280-6303 · Phone (323) 999-2838

Location 2348 E Olive Ave Ste KBurbank, CA 91502-1250 · Phone (310) 200-7636

Location 3999 N Tustin AveSanta Ana, CA 92705-3528 · Phone (323) 999-2838

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IJEOMA IKE FNP-C, MPH

Nurse Practitioner (Family)