Basic Information
| Provider Information | |||||||||
| NPI: | 1952679714 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | AMERICAN HEALTH & EDUCATION CLINICS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3209 N ALAMEDA ST STE B | ||||||||
| Address2: | |||||||||
| City: | COMPTON | ||||||||
| State: | CA | ||||||||
| PostalCode: | 902221455 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3105372273 | ||||||||
| FaxNumber: | 3105372139 | ||||||||
| Practice Location | |||||||||
| Address1: | 3209 N ALAMEDA ST STE B | ||||||||
| Address2: | |||||||||
| City: | COMPTON | ||||||||
| State: | CA | ||||||||
| PostalCode: | 902221455 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3105372273 | ||||||||
| FaxNumber: | 3105372139 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/08/2011 | ||||||||
| LastUpdateDate: | 12/08/2011 | ||||||||
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| AuthorizedOfficialLastName: | ISLAM | ||||||||
| AuthorizedOfficialFirstName: | HANAN | ||||||||
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| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 3105372273 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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| AuthorizedOfficialCredential: | NPD | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251B00000X | 190422AP | CA | Y | Agencies | Case Management |
No ID Information.