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General NPI Number Information
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NPI Number | 1578186144
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Entity Type | Organization
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Legal Business Name | UNIVERSAL COMMUNITY HEALTH CENTER
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Dates
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Enumeration Date | 05/18/2020
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Last Update Date | 06/02/2022
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Provider Practice Location Address
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Address Line | 900 E 33RD ST
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City | LOS ANGELES
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State | CA
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Zip | 90011-2524
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Country | US
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Telephone | 232-333-3100
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Fax | 323-233-4100
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Provider Business Mailing Address
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Address Line | 2801 S SAN PEDRO ST
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City | LOS ANGELES
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State | CA
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Zip | 90011-2023
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Country | US
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Telephone | 323-313-5588
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Fax | 323-233-3124
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | ALFREDO REYNOSO
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Credential |
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Telephone | 323-313-5588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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