| Centro Medico Community Clinic, Inc | |
|
3936 Phelan Rd Ste A1 Phelan CA 92371-4142 | |
| (951) 278-8910 | |
| Not Available |
| Full Name | Centro Medico Community Clinic, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3936 Phelan Rd Ste A1, Phelan, California |
| Authorized Official Name and Position | Samar Masri (HR DIRECTOR) |
| Authorized Official Contact | 9513763097 |
| 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 3936 Phelan Rd Ste A1 Phelan CA 92371-4142 Ph: (951) 278-8910 |
| NPI Number | 1316831407 |
|---|---|
| Provider Enumeration Date | 06/04/2025 |
| Last Update Date | 06/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316831407 | 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 |
Family Medical Clinic & Urgent Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9723 Sierra Vista Rd, Unit A, Phelan, CA 92371 Phone: 760-868-1990 Fax: 760-868-1201 | |
Pharmacy Mart Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4050 Phelan Rd Ste 8, Phelan, CA 92371 Phone: 760-868-2800 Fax: 760-868-5252 |