Organization
COPA DE ORO COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD SADEGH DOLATABADI (CEO)
(310) 404-7171
Entity
Organization
Contact information
Practice address
12052 IMPERIAL HWY, STE 102, NORWALK, CA 90650
(562) 261-9330
(562) 543-3134
Mailing address
1127 WILSHIRE BLVD STE 1112, LOS ANGELES, CA 90017-4002
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2024
Last updated
10/09/2024
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