Healthcare Provider Details

I. General information

NPI: 1396067500
Provider Name (Legal Business Name): AAA COMPREHENSIVE HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2010
Last Update Date: 12/06/2021
Certification Date: 12/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7451 LANKERSHIM BLVD
NORTH HOLLYWOOD CA
91605-2803
US

IV. Provider business mailing address

7451 LANKERSHIM BLVD
NORTH HOLLYWOOD CA
91605-2803
US

V. Phone/Fax

Practice location:
  • Phone: 818-480-0007
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number550001275
License Number StateCA

VIII. Authorized Official

Name: ANNA NSHANYAN
Title or Position: CEO
Credential:
Phone: 818-503-9800