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University Muslim Medical Association Inc
Federally Qualified Health Center (FQHC) in Los Angeles, California
NPI 1720171242

University Muslim Medical Association Inc is a Federally Qualified Health Center (FQHC) based in Los Angeles, CA and is specialized in Federally Qualified Health Center (FQHC). University Muslim Medical Association Inc practices in Los Angeles, CA. The NPI Number for University Muslim Medical Association Inc is 1720171242 and holds a License No. (California).

The current practice location address for University Muslim Medical Association Inc is 711 W Florence Ave, Los Angeles, CA and can be reached out via phone at 323-789-5610 and via fax at 323-789-5616.

Location: 711 W Florence Ave, Los Angeles, CA, 90044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720171242
Provider Name
University Muslim Medical Association Inc
Credential
Provider Entity Type
Organization
Address
711 W Florence Ave, Los Angeles, CA, 90044
Phone Number
323-789-5610
Fax Number
323-789-5616
Provider Enumeration Date
10/02/2006
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
H701898 01 CA PUBLIC PRIVATE PARTNERSHI
051099 01 CA MEDICARE PROVIDER NUMBER
BCP70908F 05 CA
FHC70908F 05 CA
EAP70908F 05 CA
HAP70908F 05 CA
institution
Provider Business Practice Location Address Details
Address
711 W Florence Ave
City
Los Angeles
State
California
Zip
90044
Phone Number
323-789-5610
Fax Number
323-789-5616
person
Provider Business Mailing Address Details
Address
711 W Florence Ave
City
Los Angeles
State
California
Zip
90044
Phone Number
323-789-5610
Fax Number
323-789-5616
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
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Definition
Definition to come...
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