OrganizationActive
All-Inclusive Community Health Center
NPI 1093019051 · Primary Care Clinic/Center · Burbank, CA
Provider details
- NPI number
- 1093019051
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marine Dzhgalyan, Ceo(818) 843-9900
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community Health Clinic/Center261QC1500X
Ambulatory Health Care Facilities
- Federally Qualified Health Center (FQHC)261QF0400X
Ambulatory Health Care Facilities
Practice location
1311 N San Fernando Blvd
Burbank, CA 91504-4236
Phone: (818) 843-9900
Fax: (818) 843-9909
Approximate (ZIP-level) locationGet directions
Mailing address
1311 N San Fernando Blvd
Burbank, CA 91504-4236
Registry dates
- Enumerated
- 2011-01-05
- Last updated
- 2018-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.