Healthcare Provider Details

I. General information

NPI: 1316629686
Provider Name (Legal Business Name): COMMUNITY MEDICAL WELLNESS CENTERS USA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2023
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3325 PALO VERDE AVE STE 208
LONG BEACH CA
90808-4132
US

IV. Provider business mailing address

1360 E ANAHEIM ST STE 101
LONG BEACH CA
90813-5515
US

V. Phone/Fax

Practice location:
  • Phone: 562-513-5363
  • Fax: 562-548-2389
Mailing address:
  • Phone: 562-270-0324
  • Fax: 562-591-0109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number StateNULL

VIII. Authorized Official

Name: SOMPIA PAIGNE
Title or Position: CEO
Credential: PHD, LCSW
Phone: 562-270-0324