Organization
CENTRO MEDICO COMMUNITY CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMAR MASRI (HR DIRECTOR)
(951) 376-3097
Entity
Organization
Contact information
Practice address
3936 PHELAN RD STE A1, PHELAN, CA 92371-4142
(951) 278-8910
Mailing address
1303 W 6TH ST STE 102, CORONA, CA 92882-3196
(951) 278-8910
(951) 376-3097
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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