Active NPI
La Comprehensive Medical Group
- Primary Care Clinic/Center
- Compton, CA
National Provider Identifier
1851042949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | McAfee |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2287150 | La Comprehensive Medical Group | Certificate of waiver | Aug 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.