COMMUNITY MEDICAL WELLNESS CENTERS USA NPI 1235500513

NPI Information

NPI: 1235500513
Provider Name: COMMUNITY MEDICAL WELLNESS CENTERS USA
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 05D2107667

Address:
1360 E ANAHEIM ST
SUITE 101
LONG BEACH, CA
ZIP 90813
Phone: (562) 270-0324
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COMMUNITY MEDICAL WELLNESS CENTERS USA is a federally qualified health center (fqhc) clinic center in Long Beach, CA. COMMUNITY MEDICAL WELLNESS CENTERS USA NPI is 1235500513. The provider is registered as an organization entity type.

The provider's business location address is:

1360 E ANAHEIM ST
SUITE 101
LONG BEACH, CA
ZIP 90813-514
Phone: (562) 270-0324
Fax: (562) 591-0109

The provider's authorized official is Patricia Ramirez .
The authorized official title is Human Resources Director and has the following contact phone number (562) 485-6274.

The CLIA number assigned to this NPI record is 05D2107667 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/13/2015 and was last updated on 4/18/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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