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UNIVERSITY MUSLIM MEDICAL ASSOCIATION INC. NPI 1730421330


NPI Information

NPI: 1730421330
Provider Name: UNIVERSITY MUSLIM MEDICAL ASSOCIATION, INC.

Doing Business As: FREMONT WELLNESS CENTER

Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
7821 S AVALON BLVD
LOS ANGELES, CA
ZIP 90003
Phone: (323) 406-5784
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UNIVERSITY MUSLIM MEDICAL ASSOCIATION, INC. is a community health clinic center in Los Angeles, CA. UNIVERSITY MUSLIM MEDICAL ASSOCIATION, INC. NPI is 1730421330. The provider is registered as an organization entity type.
The provider Is Doing Business As Fremont Wellness Center.

The provider's business location address is:

7821 S AVALON BLVD
LOS ANGELES, CA
ZIP 90003
Phone: (323) 406-5784
Fax: (323) 233-2685

The provider's authorized official is Jackie Provost .
The authorized official title is Director Of Programs and has the following contact phone number (323) 406-5784.

The enumeration date for this NPI number is 3/21/2013 and was last updated on 1/25/2015.


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
1261QC1500XClinic/CenterCommunity HealthYes

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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