Organization
CENTRO MEDICO COMMUNTY CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMAR MASRI (HR/FINANCIAL COORDINATOR)
(909) 278-8910
Entity
Organization
Contact information
Practice address
1303 W 6TH ST STE 105, CORONA, CA 92882-3196
(951) 278-8910
(951) 278-9895
Mailing address
1303 W 6TH ST STE 102, CORONA, CA 92882-3196
(951) 278-8910
(951) 278-9895
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
HAP70911G
CA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/26/2007
Last updated
04/08/2022
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