Medi Medi Community Health Center

NPI #1154892875 in Los Angeles, California

Provider Information

NPI Number: 1154892875
Entity Type: Organization
Organization Name: Medi Medi Community Health Center
Primary Specialty: General Practice
Enumeration Date: Dec 6, 2018
Last Updated: Dec 19, 2018

Practice Location

Address: 11900 AVALON BLVD STE 100
City: Los Angeles
State: California
ZIP Code: 90061-2867
Phone: (323) 999-2838

Authorized Official

Name: ANDY PISKOULIAN
Title: FOUNDER /CEO
Phone: (310) 200-7636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Social Worker - Clinical — Clinical	1041C0700X
Chiropractor	111N00000X
Dentist	122300000X
Optometrist	152W00000X
Case Manager/Care Coordinator	171M00000X
Pharmacist	183500000X
Family Medicine	207Q00000X
Internal Medicine	207R00000X
Obstetrics & Gynecology	207V00000X
Pediatrics	208000000X
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
General Practice	208D00000X	Primary

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