FC COMPREHENSIVE HEALTHCARE – NPI #1861106908
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

FC COMPREHENSIVE HEALTHCARE is a provider located in COMPTON, CA. NPPES has assigned the NPI number 1861106908 to FC COMPREHENSIVE HEALTHCARE on January 12, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FC COMPREHENSIVE HEALTHCARE” is a dba name, the actual legal business name for this organization is FC COMPREHENSIVE HEALTHCARE A PROFESSIONAL MEDICAL CORPORATION. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was last updated on Jun 13, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FC COMPREHENSIVE HEALTHCARE below.

NPI Profile for
FC COMPREHENSIVE HEALTHCARE A PROFESSIONAL MEDICAL CORPORATION

NPI Number
1861106908
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FC COMPREHENSIVE HEALTHCARE A PROFESSIONAL MEDICAL CORPORATION
Doing Business As (dba): FC COMPREHENSIVE HEALTHCARE
Primary location
1410 W ALONDRA BLVD
COMPTON, CA 90220-3533
Phone: (310) 933-8755 Fax: (310) 933-8738
Mailing address
4525 EAGLE ROCK BLVD
LOS ANGELES, CA 90041-3214
Phone: (818) 846-4469 Fax:
Organization Subpart
No
Authorized Official
TEODULO BONZON
CFO
Phone: (818) 846-4469
Updated
Certification Date
Jun 13, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.