UNIVERSITY MUSLIM MEDICAL ASSOCIATION, INC. (NPI# 1730421330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730421330 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY MUSLIM MEDICAL ASSOCIATION, INC. |
| Other Organization Name | FREMONT WELLNESS CENTER |
| Practice Address |
7821 S Avalon Blvd Los Angeles CA 90003 |
| Mailing Address |
711 W Florence Ave Los Angeles CA 90044-6105 |
| Practice Telephone | 3234065784 |
| Practice Fax Number | 3232332685 |
| Mailing Telephone | 3237895610 |
| Mailing Fax Number | 3237895616 |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2015-01-25 |
| Authorized Official Name | JACKIE PROVOST (DIRECTOR OF PROGRAMS) |
| Authorized Official Telephone | 3234065784 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fremont Wellness Center | Doing Business As Name - Organization |
| Street Address |
7821 S AVALON BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831878 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 9179 S Main Street, Los Angeles, CA 90003 | 2020-05-04 |
| 1780227207 | Herminia E Galvez | Counselor | 8005 S. Figueroa Street, Business, Los Angeles, CA 90003 | 2019-10-28 |
| 1720567548 | Banty Dental Corporation | Clinic/Center | 5971 S Main Street, Los Angeles, CA 90003 | 2018-08-13 |
| 1932623030 | Mireya Melendez | Case Manager/Care Coordinator | 5849 Crocker Street Unit L, Los Angeles, CA 90003 | 2017-07-31 |
| 1356865810 | Oscar Montes Jr. | Social Worker | 8220 San Pedro St., Los Angeles, CA 90003 | 2017-07-26 |
| 1619407483 | Tonja Benetta Jordan | Registered Nurse | 5850 South Main St, Los Angeles, CA 90003 | 2017-06-14 |
| 1194254581 | Janae Wilson Shepherd | Registered Nurse | 5850 S Main Street, Los Angeles, CA 90003 | 2017-06-08 |
| 1649709049 | Eisha Eishawndra Purvis | Registered Nurse | 5850 S. Main Street, Los Angeles, CA 90003 | 2017-06-08 |
| 1689022477 | Ladan Hariri | Psychiatry & Neurology | 1200 N.state St., Los Angeles, CA 90003 | 2016-06-02 |
| 1811330772 | David Chavez | Dental Assistant | 358 East 76st, Los Angeles, CA 90003 | 2013-04-10 |
| Find all providers in zip 90003 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083251532 | Prime Wellness Community Health Center | Clinic/Center | 1824 1/2 W 38th Pl, Los Angeles, CA 90062-1012 | 2019-12-03 |
| 1093278632 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 1060 West Exposition Blvd., Los Angeles, CA 90007 | 2019-04-10 |
| 1003367590 | Jwch Institute, Inc | Clinic/Center | 115 E. 3rd Street, Los Angeles, CA 90013-1301 | 2016-10-19 |
| 1568919108 | Jwch Institute, Inc | Clinic/Center | 3804 Broadway Pl, Los Angeles, CA 90037-1414 | 2016-09-01 |
| 1093167850 | 3c Community Clinic | Clinic/Center | 3030 W Olympic Blvd Ste 206, Los Angeles, CA 90006-6506 | 2016-07-05 |
| 1174996177 | All-inclusive Community Health Center | Clinic/Center | 3920 Eagle Rock Blvd Ste A, Los Angeles, CA 90065-3606 | 2015-11-12 |
| 1861893844 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 326 West 23rd Street, Los Angeles, CA 90007 | 2014-09-10 |
| 1649680588 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 400 W Washington Blvd Bldg E-102, Los Angeles, CA 90015-4108 | 2014-04-30 |
| 1629491089 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 1555 West 110th St, Los Angeles, CA 90047-1220 | 2014-01-21 |
| 1487086989 | Central Neighborhood Health Foundation | Clinic/Center | 2614 S Grand Ave, Los Angeles, CA 90007-2607 | 2013-08-07 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90003 |
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| 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.