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NPI 1093939068

NPI 1093939068 : ALLIED HEALTH CARE, INC. : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1093939068
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALLIED HEALTH CARE, INC. 
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Dates
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    Enumeration Date     |    04/12/2007
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    Last Update Date     |    11/17/2011
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Provider Practice Location Address
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    Address Line         |    4035 S CLOVERDALE AVE 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90008-1032
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    Country              |    US
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    Telephone            |    213-479-5657
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    Fax                  |    310-622-4556
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Provider Business Mailing Address
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    Address Line         |    301 N PRAIRIE AVE SUITE 400
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    City                 |    INGLEWOOD
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    State                |    CA
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    Zip                  |    90301-4507
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    Country              |    US
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    Telephone            |    213-479-5657
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    Fax                  |    310-622-4556
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MRS. ANDREA  KYNARD 
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    Credential           |    NP
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    Telephone            |    213-479-5657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QH0100X
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    Taxonomy Name        |    Health Service Clinic/Center
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    License Number       |    363176
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    License Number State |    CA
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