Centro Medico Community Clinic Inc

LBN: Centro Medico Community Clinic Inc
Centro Medico Community Clinic Inc is an health care organization with primary practice located at 1303 W 6Th St Ste 105 , Corona CA 92882-3196. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Centro Medico Community Clinic Inc can be contacted via phone (951) 278-8910, or through Masri, Samar via phone (909) 241-6861.

Contact Information

Primary practice address
1303 W 6Th St Ste 105 Corona CA 92882-3196
Phone: (951) 278-8910
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Masri, Samar
Phone: (909) 241-6861

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1386298008
LBN Legal business name Centro Medico Community Clinic Inc
DBA Doing business as
Authorized official Masri, Samar
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2019
Last updated Jan 25th, 2022 - about 3 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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