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CENTRO MEDICO COMMUNTY CLINIC INC NPI 1245366715


NPI Information

NPI: 1245366715
Provider Name: CENTRO MEDICO COMMUNTY CLINIC INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1303 W 6TH ST STE 105
CORONA, CA
ZIP 92882
Phone: (951) 278-8910
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CENTRO MEDICO COMMUNTY CLINIC INC is a federally qualified health center (fqhc) clinic center in Corona, CA. CENTRO MEDICO COMMUNTY CLINIC INC NPI is 1245366715. The provider is registered as an organization entity type.

The provider's business location address is:

1303 W 6TH ST STE 105
CORONA, CA
ZIP 92882-196
Phone: (951) 278-8910
Fax: (951) 278-9895

The provider's authorized official is Samar Masri .
The authorized official title is Hr/financial Coordinator and has the following contact phone number (909) 278-8910.

The enumeration date for this NPI number is 2/26/2007 and was last updated on 4/8/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterHAP70911GCALIFORNIANo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)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

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