| Community Medical Wellness Centers Usa | |
|
1350 E Anaheim St Long Beach CA 90813-3776 | |
| (562) 485-6274 | |
| Not Available |
| Full Name | Community Medical Wellness Centers Usa |
|---|---|
| Speciality | Clinic/Center |
| Location | 1350 E Anaheim St, Long Beach, California |
| Authorized Official Name and Position | Nichole Henderson (DIRECTOR OF QUALITY) |
| Authorized Official Contact | 6289770548 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Medical Wellness Centers Usa 1360 E Anaheim St Ste 101 Long Beach CA 90813-5515 Ph: (562) 485-6274 | Community Medical Wellness Centers Usa 1350 E Anaheim St Long Beach CA 90813-3776 Ph: (562) 485-6274 |
| NPI Number | 1689449571 |
|---|---|
| Provider Enumeration Date | 11/20/2023 |
| Last Update Date | 11/20/2023 |
| Medicare PECOS PAC ID | 1759665367 |
|---|---|
| Medicare Enrollment ID | O20240224000427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689449571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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