Organization · Type 2 NPI

University Muslim Medical Association Inc

Federally Qualified Health Center (FQHC) · Los Angeles, CA

NPI number 1114602406 Active

Practice location

10110 Juniper St
Los Angeles, CA 90002-3166

Call (323) 789-5610 Map

Fax (323) 789-5616

Mailing address

711 W Florence Ave
Los Angeles, CA 90044-6105

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

3 other providers at this address

Brittany Moore, RNRegistered Nurse Los Angeles, CA NPI 1396278289
Nava Hosseinnezhad BahramjerdiAdult Health Nurse Practitioner Los Angeles, CA NPI 1205542669
Zeidy Julissa Covarrubias, FNPPrimary Care Nurse Practitioner Los Angeles, CA NPI 1376165878

Other federally qualified health center (fqhc) providers in Los Angeles

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NPI record

NPI: 1114602406
Entity type: Organization (Type 2)
Issued: Jun 15, 2023
Last updated: May 23, 2024
Status: Active

Other names

<unavail>
Jordan Wellness Center · doing business as
Jordan Wellness Center · doing business as

Authorized official

Alfredo Reynoso
Chief Operating Officer
(323) 313-5588

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114602406

University Muslim Medical Association Inc's National Provider Identifier is 1114602406, issued on Jun 15, 2023. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Los Angeles, CA. The record was last updated on May 23, 2024.