ALLIED PRIMARY CARE CLINIC, INC.
Clinic/Center (Health Service)

Address: 10481 Santa Monica Blvd, Los Angeles, CA 90025-5031

ALLIED PRIMARY CARE CLINIC, INC. (NPI# 1851974760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851974760
Entity Type Organization
Organization Name ALLIED PRIMARY CARE CLINIC, INC.
Practice Address 10481 Santa Monica Blvd
Los Angeles
CA 90025-5031
Practice Telephone 3105925906
Practice Fax Number 3108682500
Mailing Address 10481 Santa Monica Blvd
Los Angeles
CA 90025-5031
Mailing Telephone 3105925906
Mailing Fax Number 3108682500
Certification Date 2021-04-29
Enumeration Date 2021-04-29
Last Update Date 2021-04-29
Authorized Official Telephone 3105925906
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Other Provider Identifiers

Identifier State Issuer Type Code
A38224B CA MEDICAID

Office Location

Street Address 10481 SANTA MONICA BLVD
City LOS ANGELES
State CA
Zip Code 90025-5031

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902027626 Maurice Mehrban Specialist 10481 Santa Monica Blvd, Los Angeles, CA 90025-5031 2007-05-01

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NPI Name Taxonomy Address Enumeration
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1336609189 Psychotherapy Center for Healing and Personal Growth · Ronit Farzam Psychologist 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 2019-03-20
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1518527712 David Allen Goldstein Marriage & Family Therapist 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 2019-06-19
1558962324 Marjaneh-Marcia Khalitchi-Alavi · Marcia K Alavi Psychologist - Clinical 12400 Wilshire Blvd #230, Los Angeles, CA 90025 2020-11-06
1295106771 Aimee Levine-Dickman Occupational Therapist 10780 Santa Monica Boulevard, Ste. 105, The Camden Center, Los Angeles, CA 90025 2015-10-09
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1538710298 Teyhou Smyth Marriage & Family Therapist 2001 S. Barrington Avenue, Los Angeles, CA 90025 2019-09-24
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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NPI Name Taxonomy Address Enumeration
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1861969040 Occupational Health Centers of California, A Medical Corporation · Concentra Medical Center Clinic/Center - Health Service 1400 S Grand Ave Ste 611, Los Angeles, CA 90015-3068 2018-10-25
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Competitor

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City LOS ANGELES
Zip Code 90025

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.