Organization
CENTRO MEDICO COMMUNITY CLINIC, INC
Active
Parent organization
CENTRO MEDICO COMMUNITY CLINIC, INC
Other names
Centro Medico Community Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRO MEDICO COMMUNITY CLINIC, INC
Authorized official
SAMAR MASRI (HR DIRECTOR)
(951) 278-8910
Entity
Organization
Contact information
Practice address
11900 AVALON BLVD STE 100, LOS ANGELES, CA 90061-2867
(951) 278-8910
Mailing address
1303 W 6TH ST STE 102, CORONA, CA 92882-3196
(951) 278-8910
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/25/2025
Last updated
04/10/2026
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