Organization
COMMUNITY OUTREACH MEDICAL SERVICE
Active
Parent organization
COMMUNITY OUTREACH MEDICAL SERVICE
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY OUTREACH MEDICAL SERVICE
Authorized official
MELVIN SMITH (CEO)
(951) 695-9648
Entity
Organization
Contact information
Practice address
1701 E MCFADDEN AVE, UNIT D, SANTA ANA, CA 92705-4647
(323) 298-1668
Mailing address
4300 CRENSHAW BLVD, LOS ANGELES, CA 90008-4902
(323) 298-1668
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
GM702A
CA
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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