Organization
UNIVERSAL COMMUNITY HEALTH CENTER
Active
Parent organization
UNIVERSAL COMMUNITY HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSAL COMMUNITY HEALTH CENTER
Authorized official
EDGAR ALEXANDER CHAVEZ MD (CEO)
(323) 233-3100
Entity
Organization
Contact information
Practice address
2801 S SAN PEDRO ST, LOS ANGELES, CA 90011-2023
(323) 233-3100
(323) 233-3124
Mailing address
2801 S SAN PEDRO ST, LOS ANGELES, CA 90011-2023
(213) 745-3636
(213) 745-3626
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A92965
CA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/03/2015
Last updated
09/03/2019
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