Organization Active NPI

Allied Health Care, Inc.

  • Health Service Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1093939068
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
363176 Issued in CA
Legal business name
ALLIED HEALTH CARE, INC.
Practice address
4035 S Cloverdale Ave
Los Angeles, CA 90008-1032
Phone
(213) 479-5657
Fax
(310) 622-4556
NPI assigned
Apr 12, 2007
Last updated
Nov 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Andrea Kynard, NP
Title
Owner
Phone
(213) 479-5657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 363176 CA Primary

Addresses

Primary practice location

4035 S Cloverdale Ave
Los Angeles, CA 90008-1032

Mailing address

301 N Prairie Ave
Suite 400
Inglewood, CA 90301-4507
Phone (213) 479-5657

Other identifiers 1

IdentifierTypeStateIssuer
NP3613760MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1093939068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N PRAIRIE AVE",
            "address_2": "SUITE 400",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014507",
            "telephone_number": "213-479-5657",
            "fax_number": "310-622-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 S CLOVERDALE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900081032",
            "telephone_number": "213-479-5657",
            "fax_number": "310-622-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "KYNARD",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-479-5657",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "363176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP3613760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.