OrganizationActive
All-Inclusive Community Health Center
NPI 1174996177 · Primary Care Clinic/Center · Los Angeles, CA
Provider details
- NPI number
- 1174996177
- 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
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3920 Eagle Rock Blvd Ste a
Los Angeles, CA 90065-3606
Phone: (323) 255-5225
Fax: (323) 255-5229
Street-level locationGet directions
Mailing address
1311 N San Fernando Blvd
Burbank, CA 91504-4236
Registry dates
- Enumerated
- 2015-11-12
- 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.