Healthcare Provider Details

I. General information

NPI: 1306194105
Provider Name (Legal Business Name): AMH COMPREHENSIVE MEDICAL CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2012
Last Update Date: 04/29/2022
Certification Date: 04/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 NORTH ALVARADO ST. SUITE 101
LOS ANGELES CA
90026-4016
US

IV. Provider business mailing address

711 NORTH ALVARADO ST. SUITE 101
LOS ANGELES CA
90026-4016
US

V. Phone/Fax

Practice location:
  • Phone: 213-484-8786
  • Fax: 213-484-8783
Mailing address:
  • Phone: 213-484-8786
  • Fax: 213-484-8783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: MS. JENNELYN ARGAME
Title or Position: CEO
Credential:
Phone: 714-886-0861