Kamila Comprehensive Health Center, Inc.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA18238 Issued in CA

Legal business name

KAMILA COMPREHENSIVE HEALTH CENTER, INC.

Practice address

5831 Firestone Blvd Ste E
South Gate, CA 90280-3718

Phone

(562) 806-7545

Fax

(562) 806-6062

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Tien-Hoang Lu Mai, P.A.

Title

Physician Assistant

Phone

(562) 806-7545

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790908259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5831 FIRESTONE BLVD STE E",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902803718",
            "telephone_number": "562-806-7545",
            "fax_number": "562-806-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5831 FIRESTONE BLVD STE E",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902803718",
            "telephone_number": "562-806-7545",
            "fax_number": "562-806-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMILA COMPREHENSIVE HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAI",
        "authorized_official_first_name": "TIEN-HOANG",
        "authorized_official_middle_name": "LU",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "562-806-7545",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA18238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Physician Assistant in South Gate, CA
• Providers in South Gate, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.