Hagos Habtezghi, MD Medical Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

00C415001 Issued in CA

Legal business name

HAGOS HABTEZGHI, MD MEDICAL CORPORATION

Doing business as

Family&Community Medical Clinic

Practice address

9901 Compton Ave
Los Angeles, CA 90002-2850

Phone

(323) 835-8401

Fax

(323) 835-8405

NPI assigned

May 17, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Hagos Habtezghi, MDNPI 1235289679

Title

Medical Director

Phone

(323) 835-8401

Specialties & licenses 1

Addresses

Other names 1

• FAMILY&COMMUNITY MEDICAL CLINIC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hagos Habtezghi, MD

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1235289679
  NPD (past) Authorized official

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1811257363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 COMPTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900022850",
            "telephone_number": "323-835-8401",
            "fax_number": "323-835-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 COMPTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900022850",
            "telephone_number": "323-835-8401",
            "fax_number": "323-835-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGOS HABTEZGHI, MD MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "HABTEZGHI",
        "authorized_official_first_name": "HAGOS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "323-835-8401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "00C415001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY&COMMUNITY MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Satsuki Hagiya, M.D.
• Amee Hagler, CHES
• Marilyn Ann Hagoes, LMFT
• Hagop G Bezikian
• Hagop Eric Hagopian, RPH
• Manna Hagos
• Douglas Hagy, PT
• Raymond Jonathan Hah, M.D.
• Hahm Rejuvenation Center
• Sukwoon Hahm, LA.C

• Primary Care Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.