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General NPI Number Information
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NPI Number | 1710823307
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Entity Type | Organization
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Legal Business Name | UNIVERSITY MUSLIM MEDICAL ASSOCIATION INC
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 1761 W ROMNEYA DR STE B
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City | ANAHEIM
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State | CA
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Zip | 92801-1816
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Country | US
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Telephone | 323-647-1520
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Fax | 323-789-5616
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Provider Business Mailing Address
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Address Line | 6814 PACIFIC BLVD
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255-4197
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Country | US
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Telephone | 323-647-1520
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Fax | 323-789-5616
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | ALEJANDRA MURILLO
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Credential |
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Telephone | 323-329-8081
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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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