Organization
UNIVERSAL COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFREDO REYNOSO MHA (DIRECTOR OF OPERATIONS)
(323) 233-3100
Entity
Organization
Contact information
Practice address
2098 S CENTRAL AVE, LOS ANGELES, CA 90011-1235
(323) 233-3100
(323) 233-3124
Mailing address
2098 S CENTRAL AVE, LOS ANGELES, CA 90011-1235
(323) 233-3100
(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
—
550001520
—
CA
Enumeration date
09/03/2019
Last updated
09/03/2019
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