Healthcare Provider Details

I. General information

NPI: 1841737244
Provider Name (Legal Business Name): METRO COMMUNITY HEALTH CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2017
Last Update Date: 01/23/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 S CHEVY CHASE DR 103
GLENDALE CA
91205-4431
US

IV. Provider business mailing address

801 S CHEVY CHASE DR 103
GLENDALE CA
91205-4431
US

V. Phone/Fax

Practice location:
  • Phone: 818-850-5667
  • Fax:
Mailing address:
  • Phone: 818-850-5667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateCA

VIII. Authorized Official

Name: BIANCA LEITEL ZAMORANO
Title or Position: DIRECTOR
Credential:
Phone: 818-850-5667