Organization
UNIVERSITY MUSLIM MEDICAL ASSOCIATION INC
Active
Other names
UMMA Mobile Clinic #1
Organization subpart
No
Provider details
NPI number
Authorized official
ALFREDO REYNOSO (CHIEF OPERATING OFFICER)
(323) 313-5588
Entity
Organization
Contact information
Practice address
711 W FLORENCE AVE, LOS ANGELES, CA 90044-6105
(323) 789-5610
Mailing address
711 W FLORENCE AVE, LOS ANGELES, CA 90044-6105
(323) 789-5610
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
05/23/2024
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