Organization · Type 2 NPI
Centro Medico Community Clinic, Inc
Federally Qualified Health Center (FQHC) · Phelan, CA
NPI number
1316831407
Active
Practice location
3936 Phelan Rd Ste A1
Phelan, CA 92371-4142
Mailing address
1303 W 6th St Ste 102
Corona, CA 92882-3196
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Clinic/Center | 261QC1500X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
2 other providers at this address
Other federally qualified health center (fqhc) providers in Phelan
About NPI 1316831407
Centro Medico Community Clinic, Inc's National Provider Identifier is 1316831407, issued on Jun 4, 2025. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Phelan, CA. The record was last updated on Jun 4, 2025.