Organization
CENTRAL CITY COMMUNITY HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY DAVID REYES DO (CEO)
(714) 490-2750
Entity
Organization
Contact information
Practice address
12116 BEACH BLVD, STANTON, CA 90680
(714) 898-2222
(714) 894-9865
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
960000901
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC70614F
—
CA
Enumeration date
05/07/2009
Last updated
12/16/2025
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