NPI | 1922416411 |
---|---|
Former Legal Business Name | COMMERCE FAMILY MEDICAL CENTER |
Doing Business As | FHCCGLA MAYWOOD FAMILY MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | RAQUEL R. VILLA Chief Executive Officer 562-776-5014 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QC1500X Clinic/Center, Community Health | |
261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
261QH0100X Clinic/Center, Health Services | |
Enumeration Date | 2014-07-28 |
Last Update Date | 2022-12-22 |