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NPI Code Detail

MEDICARE: KAMILA COMPREHENSIVE HEALTH CENTER, INC.

MEDICARE: KAMILA COMPREHENSIVE HEALTH CENTER, INC.
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
1251T00000XPACE Provider OrganizationCA

General Provider Information

NPI Number : 1831232677
Entity Type Code : Organization
Provider Name (Legal Business Name) : KAMILA COMPREHENSIVE HEALTH CENTER, INC.
Provider Business Mailing Address
First Line : 5831 FIRESTONE BLVD
Second Line : SUITE E
City : SOUTH GATE
State : CA
Zip : 90280-3718
Country : US
Telephone Number : 562-806-7545
Fax Number :
Provider Business Practice Location Address
First Line : 5831 FIRESTONE BLVD
Second Line : SUITE E
City : SOUTH GATE
State : CA
Zip : 90280-3718
Country : US
Telephone Number : 562-806-7545
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. YURY AKOPYAN
Credential :
Telephone Number : 562-806-7545
Provider Enumeration Date : 02/14/2007
Last Update Date : 08/22/2020

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