1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Clinic Center
  6. NPI Profile

ANGELES COMPREHENSIVE COMMUNITY CLINIC, INC.
NPI 1457470684
Clinic/Center in Los Angeles, CA

Active since March 28, 2007
3920 EAGLE ROCK BLVD., SUITE A, LOS ANGELES, CA 90065(323) 255-5225(323) 255-5229 Get Directions Write a Review

NPPES record last updated: August 26, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angeles Comprehensive Community Clinic, Inc. NPPES

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

ANGELES COMPREHENSIVE COMMUNITY CLINIC, INC. (NPI 1457470684) is a healthcare organization registered as a clinic/center in Los Angeles, California and active in the NPI registry since March 2007. The organization lists Liana Kazarova, Administrator, as its authorized official.

NPPES Registry Identity

NPI1457470684
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameANGELES COMPREHENSIVE COMMUNITY CLINIC, INC.
Location Address3920 EAGLE ROCK BLVD., SUITE ALos Angeles, CA 90065-3606
Mailing Address3920 Eagle Rock Blvd., Suite ALos Angeles, CA 90065-3606 · (323) 255-5225 · Fax (323) 255-5229
Phone(323) 255-5225
Fax(323) 255-5229
Organization SubpartNo
Authorized OfficialLiana KazarovaAdministrator · (323) 255-5225
Enumeration DateMarch 28, 2007
Last NPPES UpdateAugust 26, 2014
✔ NPI 1457470684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in CA · 550000708
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3920 EAGLE ROCK BLVD., Los Angeles, CA 90065
Open in Google Maps ↗

Other Identifiers 14

Other1427003300CA · Npi
Medicare PINW20815CA
Other1326349960CA · Npi
Other8370190013CA · Cigna
OtherOXG182CA · Blue Cross
Other1811043474CA · Npi
OtherCB217375CA · Medicare Ptan
OtherOO3991CA · Health Net
OtherZZZ552884CA · Blue Shield
OtherG56432F11CA · Care 1st
Medicaid1457470684CA
Other1427355981CA · Npi
Other91355CA · Healthy Family Enrollment Entity
OtherG56432MM2CA · La Care

Frequently 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 Angeles Comprehensive Community Clinic, Inc.'s NPI number?

The NPI number for Angeles Comprehensive Community Clinic, Inc. is 1457470684. It was assigned to this organization in the NPPES registry on March 28, 2007.

Where is Angeles Comprehensive Community Clinic, Inc. located?

Angeles Comprehensive Community Clinic, Inc. is located at 3920 Eagle Rock Blvd. Suite A, Los Angeles, CA 90065. The listed phone number is (323) 255-5225.

What is Angeles Comprehensive Community Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Angeles Comprehensive Community Clinic, Inc. was last updated on August 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.