Provider Demographics
NPI:1629573340
Name:PEOPLES COMMUNITY CLINIC
Entity Type:Organization
Organization Name:PEOPLES COMMUNITY CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HR DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HOURY
Authorized Official - Middle Name:
Authorized Official - Last Name:KARABIBERJIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:323-928-5052
Mailing Address - Street 1:4139 VERDUGO RD # A
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90065-3820
Mailing Address - Country:US
Mailing Address - Phone:323-928-5052
Mailing Address - Fax:
Practice Address - Street 1:4626 N GRAND AVE
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91724-2055
Practice Address - Country:US
Practice Address - Phone:323-928-5052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PEOPLES COMMUNITY CLINIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-03-26
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty