| Central City Community Health Center | |
|
12116 Beach Blvd Stanton CA 90680 | |
| (714) 898-2222 | |
| (714) 894-9865 |
| Full Name | Central City Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 12116 Beach Blvd, Stanton, California |
| Authorized Official Name and Position | Rosemary David Reyes (CEO) |
| Authorized Official Contact | 7144902750 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central City Community Health Center 2019 Saturn St Monterey Park CA 91755-7415 Ph: (323) 724-0019 | Central City Community Health Center 12116 Beach Blvd Stanton CA 90680 Ph: (714) 898-2222 |
| NPI Number | 1174757967 |
|---|---|
| Provider Enumeration Date | 05/07/2009 |
| Last Update Date | 12/13/2022 |
| Medicare PECOS PAC ID | 6608837331 |
|---|---|
| Medicare Enrollment ID | O20101118000737 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174757967 | NPI | - | NPPES |
| FHC70614F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 960000901 (California) | Primary |
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