| Centro Medico Community Clinic, Inc | |
|
575 E Hardy St Ste 207 Inglewood CA 90301-4000 | |
| (844) 223-6876 | |
| Not Available |
| Full Name | Centro Medico Community Clinic, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 575 E Hardy St Ste 207, Inglewood, California |
| Authorized Official Name and Position | Samar Masri (HR DIRECTOR) |
| Authorized Official Contact | 9092416861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro Medico Community Clinic, Inc 1303 W 6th St Ste 102 Corona CA 92882-3196 Ph: (951) 278-8910 | Centro Medico Community Clinic, Inc 575 E Hardy St Ste 207 Inglewood CA 90301-4000 Ph: (844) 223-6876 |
| NPI Number | 1205793296 |
|---|---|
| Provider Enumeration Date | 01/09/2026 |
| Last Update Date | 01/09/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205793296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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