Basic Information
| Provider Information | |||||||||
| NPI: | 1275963381 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | AMERICAN HEALTH CLINICS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3209 N ALAMEDA ST | ||||||||
| Address2: | STE. A | ||||||||
| City: | COMPTON | ||||||||
| State: | CA | ||||||||
| PostalCode: | 902221406 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3105372273 | ||||||||
| FaxNumber: | 3105372139 | ||||||||
| Practice Location | |||||||||
| Address1: | 3209 N ALAMEDA ST | ||||||||
| Address2: | STE. A | ||||||||
| City: | COMPTON | ||||||||
| State: | CA | ||||||||
| PostalCode: | 902221406 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3105372273 | ||||||||
| FaxNumber: | 3105372139 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/26/2013 | ||||||||
| LastUpdateDate: | 03/05/2014 | ||||||||
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| AuthorizedOfficialLastName: | SMITH | ||||||||
| AuthorizedOfficialFirstName: | DENISE | ||||||||
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| AuthorizedOfficialTitleorPosition: | MEDICAL DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 3109970901 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208D00000X | A83462 | CA | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | General Practice |
No ID Information.