Organization Active NPI

La Comprehensive Medical Group

  • Primary Care Clinic/Center
  • Compton, CA
National Provider Identifier
1851042949
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LA COMPREHENSIVE MEDICAL GROUP
Practice address
1410 W Alondra Blvd Ste B
Compton, CA 90220-3533
Phone
(818) 941-5942
NPI assigned
Jan 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Authorized official

Name
Christine Khatchoyan
Title
Consultant
Phone
(818) 941-5942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1410 W Alondra Blvd Ste B
Compton, CA 90220-3533

Mailing address

137 S Robertson Blvd Ste 201
Beverly Hills, CA 90211-2801

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL McAfee

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2287150La Comprehensive Medical Group1410 W Alondra Blvd Suite B, Compton, CA 90220Certificate of waiverAug 8, 2027

National Provider Directory

National Provider Directory

Locations

1410 W Alondra Blvd
Ste B
Compton, CA 90220
Phone (310) 855-1422

NPI Registry JSON

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1851042949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 S ROBERTSON BLVD STE 201",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 W ALONDRA BLVD STE B",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902203533",
            "telephone_number": "818-941-5942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA COMPREHENSIVE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "KHATCHOYAN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "818-941-5942"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "McAfee",
            "affiliation": "N",
            "address_1": "1410 W Alondra Blvd Ste B",
            "city": "Compton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902203533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Compton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.