Central City Community Health Center

LBN: Central City Community Health Center
Central City Community Health Center is an health care organization with primary practice located at 12511 Brookhurst St , Garden Grove CA 92840. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Central City Community Health Center can be contacted via phone (714) 643-7176, or through Reyes, Rosemary via phone (714) 490-2750.

Contact Information

Primary practice address
12511 Brookhurst St Garden Grove CA 92840
Phone: (714) 643-7176
Fax: (714) 643-7180
Website:
Map and Directions
Authorized official contact:
Name: Reyes, Rosemary Doctor of Osteopathy (DO)
Phone: (714) 490-2750

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1588972129
LBN Legal business name Central City Community Health Center
DBA Doing business as
Authorized official Reyes, Rosemary Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2010
Last updated Apr 28th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588972129 NPPES
California MEDICAID 1235283094

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