Provider Demographics
NPI:1306194105
Name:AMH COMPREHENSIVE MEDICAL CENTERS
Entity Type:Organization
Organization Name:AMH COMPREHENSIVE MEDICAL CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARGAME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-886-0861
Mailing Address - Street 1:711 NORTH ALVARADO ST. SUITE 101
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-4016
Mailing Address - Country:US
Mailing Address - Phone:213-484-8786
Mailing Address - Fax:213-484-8783
Practice Address - Street 1:711 NORTH ALVARADO ST. SUITE 101
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-4016
Practice Address - Country:US
Practice Address - Phone:213-484-8786
Practice Address - Fax:213-484-8783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-27
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A701190Medicaid
CAH70257Medicare UPIN