CENTRO MEDICO COMMUNITY CLINIC


Address: 1303 W 6th St Ste 105, Corona, CA 92882-3196
Phone: 9512788910

CENTRO MEDICO COMMUNITY CLINIC (NPI# 1386298008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386298008
Entity Type Organization
Organization Name CENTRO MEDICO COMMUNITY CLINIC
Practice Address 1303 W 6th St Ste 105
Corona
CA 92882-3196
Mailing Address 1307 W 6th St Ste 113
Corona
CA 92882-1642
Practice Telephone 9512788910
Mailing Telephone 9512789895
Enumeration Date 2019-07-31
Last Update Date 2019-07-31
Authorized Official Name SAMAR MASRI (EXECUTIVE ASSISTANT)
Authorized Official Telephone 9092416861
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QC1500X Clinic/Center
Specialization: Community Health
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1922135169 Centro Medico Community Clinic Clinic/Center 1307 West 6th Street, Suite 113, Corona, CA 92882 2007-02-27

Office Location

Street Address 1303 W 6TH ST STE 105
City CORONA
State CA
Zip Code 92882-3196

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Taxonomy Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

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1275932477 Susan Tavitas Clinic/Center 7440 Marilyn Dr, Corona, CA 92881-4226 2014-08-14
1821074535 Native Village of Eyak Clinic/Center 705 Second St, Corona, AK 99574 2005-12-15
1437153848 Centro Medico Community Clinic, Inc Clinic/Center 1307 W 6th St, Ste 113, Corona, CA 92882-3168 2005-06-13

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Competitor

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City CORONA
Zip Code 92882

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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