# COPA DE ORO COMMUNITY HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730908146
- **Authorized official:** MOHAMMAD SADEGH DOLATABADI (CEO)
- **Authorized official phone:** (310) 404-7171

## Contact information

- **Practice address:** 12052 IMPERIAL HWY, STE 102, NORWALK, CA 90650
- **Practice address phone:** (562) 261-9330
- **Practice address fax:** (562) 543-3134
- **Mailing address:** 1127 WILSHIRE BLVD STE 1112, LOS ANGELES, CA 90017-4002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/03/2024
- **Last updated:** 10/09/2024