Healthcare Provider Details

I. General information

NPI: 1477248839
Provider Name (Legal Business Name): AAA COMPREHENSIVE HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2023
Last Update Date: 04/10/2023
Certification Date: 04/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6058 LANKERSHIM BLVD
NORTH HOLLYWOOD CA
91606-4806
US

IV. Provider business mailing address

7451 LANKERSHIM BLVD
NORTH HOLLYWOOD CA
91605-2803
US

V. Phone/Fax

Practice location:
  • Phone: 818-503-9800
  • Fax:
Mailing address:
  • Phone: 818-503-9800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental 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: ANNA NSHANYAN
Title or Position: CEO
Credential:
Phone: 818-503-9800