Organization
CENTRAL CITY COMMUNITY HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY REYES DO (CEO)
(714) 490-2750
Entity
Organization
Contact information
Practice address
12511 BROOKHURST ST, GARDEN GROVE, CA 92840
(714) 643-7176
(714) 643-7180
Mailing address
2019 SATURN ST, MONTEREY PARK, CA 91755-7415
(323) 724-0019
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235283094
—
CA
Enumeration date
09/16/2010
Last updated
12/16/2025
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