Provider Demographics
NPI:1164291084
Name:AAA COMPREHENSIVE HEALTHCARE INC
Entity Type:Organization
Organization Name:AAA COMPREHENSIVE HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:NSHANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-503-9800
Mailing Address - Street 1:7451 LANKERSHIM BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91605-2803
Mailing Address - Country:US
Mailing Address - Phone:818-480-0007
Mailing Address - Fax:
Practice Address - Street 1:11024 VICTORY BLVD
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-3720
Practice Address - Country:US
Practice Address - Phone:818-503-9800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-20
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)