Organization
UNIVERSAL COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFREDO REYNOSO (DIRECTOR OF OPERATIONS)
(323) 313-5588
Entity
Organization
Contact information
Practice address
900 E 33RD ST, LOS ANGELES, CA 90011-2524
(232) 333-3100
(323) 233-4100
Mailing address
2801 S SAN PEDRO ST, LOS ANGELES, CA 90011-2023
(323) 313-5588
(323) 233-3124
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
550003832
—
CA
Enumeration date
05/18/2020
Last updated
06/02/2022
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