Organization
UNIVERSITY MUSLIM MEDICAL ASSOCIATION INC
Active
Other names
UMMA Health Dental Mobile Unit
Organization subpart
No
Provider details
NPI number
Authorized official
ALFREDO REYNOSO (CHIEF OPERATING OFFICER)
(323) 313-5588
Entity
Organization
Contact information
Practice address
7821 AVALON BLVD, LOS ANGELES, CA 90003-2358
(323) 789-5610
(323) 789-5616
Mailing address
6814 PACIFIC BLVD, HUNTINGTON PARK, CA 90255-4197
(323) 789-5610
(323) 789-5616
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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