NPI 1477306405 · live from the CMS NPI Registry
Comprehensive Community Health Centers INC
Clinic/Center, Primary Care in Las Vegas, NV. National Provider Identifier 1477306405, active.
NPI record
| NPI | 1477306405 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Primary Care 261QP2300X |
| Practice location | 1250 S Buffalo Dr Ste 170, Las Vegas, NV 89117 |
| Practice phone | 818-630-6101 |
| Mailing address | 801 S Chevy Chase Dr Ste 20, Glendale, CA 91205 |
| Enumerated | April 9, 2024 |
| Last updated | December 12, 2025 |
| Authorized official | Flora Poladyan, Coo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | — |
| Obstetrics & Gynecology, Obstetrics | 207VX0000X | — |
| Podiatrist | 213E00000X | — |
| Pediatrics | 208000000X | — |
| Obstetrics & Gynecology, Gynecology | 207VG0400X | — |
| Clinic/Center, Primary Care primary | 261QP2300X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.