Organization
CENTRAL CITY COMMUNITY HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY D REYES DO (CEO)
(323) 724-0019
Entity
Organization
Contact information
Practice address
81709 DR CARREON BLVD STE E1, INDIO, CA 92201-5589
(760) 342-3336
(866) 997-9757
Mailing address
2019 SATURN ST, MONTEREY PARK, CA 91755-7415
(323) 724-0019
(323) 248-7044
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033488416
—
CA
Enumeration date
01/08/2015
Last updated
12/16/2025
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