KAMILA COMPREHENSIVE HEALTH CENTER, INC. (NPI# 1790908259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790908259 |
| Entity Type | Organization |
| Organization Name | KAMILA COMPREHENSIVE HEALTH CENTER, INC. |
| Practice Address |
5831 Firestone Blvd Ste E South Gate CA 90280-3718 |
| Practice Telephone | 5628067545 |
| Practice Fax Number | 5628066062 |
| Mailing Telephone | 5628067545 |
| Mailing Fax Number | 5628066062 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. TIEN-HOANG LU MAI (PHYSICIAN ASSISTANT) |
| Authorized Official Telephone | 5628067545 |
| Authorized Official Credential | P.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA18238 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831232677 | Kamila Comprehensive Health Center, Inc. | PACE Provider Organization | 5831 Firestone Blvd, Suite E, South Gate, CA 90280-3718 | 2007-02-14 |
| Street Address |
5831 FIRESTONE BLVD STE E |
| City | SOUTH GATE |
| State | CA |
| Zip Code | 90280-3718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811397888 | Complete Care Community Health Center, Inc | PACE Provider Organization | 5831 Firestone Blvd Ste E, South Gate, CA 90280-3718 | 2014-08-27 |
| 1881894715 | Dmitriy Romanenko | Obstetrics & Gynecology | 5831 Firestone Blvd Ste E, South Gate, CA 90280-3718 | 2007-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861989758 | Downey Family Cosmetic Dentistry | Clinic/Center | 9212 Lakewood Blvd, Downey, CA 90280 | 2018-04-17 |
| 1720529936 | Carewest Non-emergency Services, LLC | Non-emergency Medical Transport (VAN) | 10423 Atlantic Ave, South Gate, CA 90280 | 2017-03-20 |
| 1669844593 | Consumerhealth, Inc. | Dentist | 9918 Atlantic Aveneue, South Gate, CA 90280 | 2015-10-30 |
| 1366810988 | T & T Care Inc | Pharmacy | 8330 Long Beach Blvd Ste 112, South Gate, CA 90280 | 2015-09-14 |
| 1831579234 | Mariana Silva | Licensed Psychiatric Technician | 8160 Victoria Ave. Apt. A, South Gate, CA 90280 | 2015-06-02 |
| 1417396060 | Compatior, Inc. | Community/Behavioral Health | 4363 Tweedy Blvd, South Gate, CA 90280 | 2013-06-17 |
| 1508158197 | Eddy Ang | Family Medicine | 8627 Atlantic Ave, South Gate, CA 90280 | 2011-05-13 |
| 1750528691 | Herbert Perez | Dental Assistant | 4149 Tweey Blvd #j, South Gate, CA 90280 | 2009-01-14 |
| 1962615773 | Harold Edward Potts | Chiropractor | 10010 California Ave., South Gate, CA 90280 | 2007-05-08 |
| 1821113507 | Magdy F Tadros | Dentist | 3173 Tweedy Blvd, South Gate, CA 90280 | 2007-03-20 |
| Find all providers in zip 90280 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639464845 | Kenia Nichelle Watkins | Physician Assistant | 4359 Tweedy Blvd, South Gate, CA 90280-6236 | 2011-06-15 |
| 1457577587 | Daniel Rey Pallan | Physician Assistant | 8427 Long Beach Blvd, South Gate, CA 90280-2014 | 2007-04-17 |
| 1437542883 | Melissa Galvez | Physician Assistant | 3529 Firestone Blvd, South Gate, CA 90280-3031 | 2015-03-10 |
| 1972849693 | Rosana Hernandez | Physician Assistant | 3529 Firestone Blvd, South Gate, CA 90280-3031 | 2012-12-27 |
| 1457660391 | Michelle Mae Domingo | Physician Assistant | 4075 Tweedy Blvd, South Gate, CA 90280-6146 | 2010-09-27 |
| 1316277700 | Monica Diaz | Physician Assistant | 9916 San Juan Ave, South Gate, CA 90280-6108 | 2010-01-06 |
| 1427290980 | Nancy Shenouda | Physician Assistant | 10132 California Ave, South Gate, CA 90280-6008 | 2009-03-30 |
| 1558516708 | Jennifer Yoon | Physician Assistant | 4075 Tweedy Blvd, South Gate, CA 90280-6146 | 2008-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
| 1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
| 1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
| 1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
| 1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
| 1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH GATE |
| Zip Code | 90280 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.