Healthcare Provider Details
I. General information
NPI: 1255137618
Provider Name (Legal Business Name): COMMUNITY MEDICINE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/24/2025
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8540 ALONDRA BLVD STE B4
PARAMOUNT CA
90723-5200
US
IV. Provider business mailing address
8800 ALONDRA BLVD STE C
BELLFLOWER CA
90706-4355
US
V. Phone/Fax
- Phone: 310-418-6076
- Fax: 562-602-2382
- Phone: 310-418-6076
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HABIB
J
HASHMANI
Title or Position: CEO
Credential:
Phone: 562-602-2508