Organization
UNIVERSITY MUSLIM MEDICAL ASSOCIATION INC
Active
Organization
UNIVERSITY MUSLIM MEDICAL ASSOCIATION INC
Active
Other names
Jordan Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
ALFREDO REYNOSO (CHIEF OPERATING OFFICER)
(323) 313-5588
Entity
Organization
Contact information
Practice address
10110 JUNIPER ST, LOS ANGELES, CA 90002-3166
(323) 789-5610
(323) 789-5616
Mailing address
711 W FLORENCE AVE, LOS ANGELES, CA 90044-6105
(323) 789-5610
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/15/2023
Last updated
05/23/2024
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