| University Muslim Medical Association Inc | |
|
7821 Avalon Blvd Los Angeles CA 90003-2358 | |
| (323) 789-5610 | |
| (323) 789-5616 |
| Full Name | University Muslim Medical Association Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 7821 Avalon Blvd, Los Angeles, California |
| Authorized Official Name and Position | Alfredo Reynoso (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 3233135588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Muslim Medical Association Inc 6814 Pacific Blvd Huntington Park CA 90255-4197 Ph: (323) 789-5610 | University Muslim Medical Association Inc 7821 Avalon Blvd Los Angeles CA 90003-2358 Ph: (323) 789-5610 |
| NPI Number | 1619700200 |
|---|---|
| Provider Enumeration Date | 08/21/2024 |
| Last Update Date | 08/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619700200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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