| Community Medical Wellness Centers Usa | |
|
1360 E Anaheim St Suite 101 Long Beach CA 90813-5514 | |
| (562) 270-0324 | |
| (562) 591-0109 |
| Full Name | Community Medical Wellness Centers Usa |
|---|---|
| Speciality | Clinic/Center |
| Location | 1360 E Anaheim St, Long Beach, California |
| Authorized Official Name and Position | Patricia Ramirez (HUMAN RESOURCES DIRECTOR) |
| Authorized Official Contact | 5624856274 |
| 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 Suite 101 Long Beach CA 90813-5514 Ph: (562) 270-0324 | Community Medical Wellness Centers Usa 1360 E Anaheim St Suite 101 Long Beach CA 90813-5514 Ph: (562) 270-0324 |
| NPI Number | 1235500513 |
|---|---|
| Provider Enumeration Date | 10/13/2015 |
| Last Update Date | 04/18/2022 |
| Medicare PECOS PAC ID | 1759665367 |
|---|---|
| Medicare Enrollment ID | O20170227002197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235500513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
| Provider Name | John D Adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801852900 PECOS PAC ID: 8224025135 Enrollment ID: I20050425000423 |
| Provider Name | Fragrance Bumatay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609203900 PECOS PAC ID: 6608098959 Enrollment ID: I20200625001246 |
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