| 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 |
| 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 |