| NPI | 1972236222 |
|---|---|
| Doing Business As | UMMA MOBILE CLINIC #1 |
| Entity Type | Organization |
| Authorized Contact | ALFREDO REYNOSO Chief Operating Officer 323-313-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2024-05-23 |