Organization
UNIVERSAL COMMUNITY HEALTH CENTER
Active
Organization
UNIVERSAL COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR ALEXANDER CHAVEZ MD (CEO)
(323) 233-3100
Entity
Organization
Contact information
Practice address
1005 E WASHINGTON BLVD, SUITE A, LOS ANGELES, CA 90021-3020
(213) 745-3636
Mailing address
1005 E WASHINGTON BLVD, SUITE A, LOS ANGELES, CA 90021-3020
(323) 233-3100
(323) 233-3124
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
CA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/21/2010
Last updated
09/18/2019
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