Organization · Type 2 NPI

Centro Medico Communty Clinic Inc

Federally Qualified Health Center (FQHC) · Corona, CA

NPI number 1245366715 Active

Practice location

1303 W 6th St Ste 105
Corona, CA 92882-3196

Fax (951) 278-9895

Mailing address

1303 W 6th St Ste 102
Corona, CA 92882-3196

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center 261Q00000XHAP70911G (CA)
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

4 other providers at this address

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About NPI 1245366715

Centro Medico Communty Clinic Inc's National Provider Identifier is 1245366715, issued on Feb 26, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Corona, CA. The record was last updated on Apr 8, 2022.