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General NPI Number Information
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NPI Number | 1689961302
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Entity Type | Organization
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Legal Business Name | PEOPLE'S COMMUNITY CLINIC
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Dates
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Enumeration Date | 07/01/2011
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Last Update Date | 03/23/2018
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Provider Practice Location Address
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Address Line | 4139 VERDUGO RD SUITE A
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City | LOS ANGELES
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State | CA
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Zip | 90065-3820
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Country | US
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Telephone | 323-928-5086
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Fax | 323-274-4604
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Provider Business Mailing Address
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Address Line | 4139 VERDUGO RD SUITE A
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City | LOS ANGELES
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State | CA
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Zip | 90065-3820
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Country | US
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Telephone | 323-928-5086
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Fax | 323-274-4604
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Authorized Official
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Title or Position | HR DIRECTOR / ADMIN
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Name | HOURY KARABIBERJIAN
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Credential |
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Telephone | 323-928-5052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State | CA
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