MEDICARE: ALL-INCLUSIVE COMMUNITY HEALTH CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1740131044
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL-INCLUSIVE COMMUNITY HEALTH CENTER

Provider Business Mailing Address
First Line	:	1311 N SAN FERNANDO BLVD
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91504-4236
Country	:	US
Telephone Number	:	818-843-9900
Fax Number	:

Provider Business Practice Location Address
First Line	:	17114 DEVONSHIRE ST STE 101
Second Line	:
City	:	NORTHRIDGE
State	:	CA
Zip	:	91325-1687
Country	:	US
Telephone Number	:	818-843-9900
Fax Number	:	818-843-9901

Authorized Official
Title or Position	:	CEO
Name	:	MRS. MARINE DZHGALYAN
Credential	:
Telephone Number	:	818-843-9900

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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