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Organization

CENTRAL CITY COMMUNITY HEALTH CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROSEMARY D REYES DO (CEO)
(323) 724-0019
Entity
Organization

Contact information

Practice address
1814 W LINCOLN AVE, ANAHEIM, CA 92801-6730
(714) 805-7719
Mailing address
2019 SATURN ST, MONTEREY PARK, CA 91755-7415
(323) 724-0019
(323) 248-7044

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1285788059
CA
05
CB327906
CA
Enumeration date
05/13/2020
Last updated
12/16/2025
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