Healthcare Provider Details

I. General information

NPI: 1417874983
Provider Name (Legal Business Name): URBAN COMFORT FOODS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6130 AVALON BLVD
LOS ANGELES CA
90003-1633
US

IV. Provider business mailing address

3020 W 82ND ST
INGLEWOOD CA
90305-1435
US

V. Phone/Fax

Practice location:
  • Phone: 323-836-1403
  • Fax:
Mailing address:
  • Phone: 323-836-1403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MRS. JINELL SINGLETARY
Title or Position: OWNER
Credential:
Phone: 323-836-1403