Provider Demographics
NPI:1538500798
Name:COMFORT FAMILY CLINIC INC.
Entity Type:Organization
Organization Name:COMFORT FAMILY CLINIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THECLA
Authorized Official - Middle Name:N
Authorized Official - Last Name:MGBOJIRIKWE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-816-3111
Mailing Address - Street 1:936 N WILMINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:CA
Mailing Address - Zip Code:90744-4102
Mailing Address - Country:US
Mailing Address - Phone:310-816-3111
Mailing Address - Fax:310-816-3116
Practice Address - Street 1:936 N WILMINGTON BLVD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:CA
Practice Address - Zip Code:90744-4102
Practice Address - Country:US
Practice Address - Phone:310-816-3111
Practice Address - Fax:310-816-3116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-16
Last Update Date:2022-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QP2300X
CA14927363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & GynecologyGroup - Multi-Specialty