| Universal Community Health Center | |
|
1919 S San Pedro St Los Angeles CA 90011-1121 | |
| (323) 233-3100 | |
| (323) 233-4100 |
| Full Name | Universal Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1919 S San Pedro St, Los Angeles, California |
| Authorized Official Name and Position | Alfredo Reynoso (COO) |
| Authorized Official Contact | 3232333100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Universal Community Health Center 2801 S San Pedro St Los Angeles CA 90011-2023 Ph: (323) 233-3100 | Universal Community Health Center 1919 S San Pedro St Los Angeles CA 90011-1121 Ph: (323) 233-3100 |
| NPI Number | 1497427157 |
|---|---|
| Provider Enumeration Date | 10/01/2021 |
| Last Update Date | 10/01/2021 |
| Medicare PECOS PAC ID | 0547449399 |
|---|---|
| Medicare Enrollment ID | O20221028002307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497427157 | NPI | - | NPPES |
| 550001520 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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