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NPI Code Detail

MEDICARE: UNIVERSITY MUSLIM MEDICAL ASSOCIATION INC

MEDICARE: UNIVERSITY MUSLIM MEDICAL ASSOCIATION INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1225389562
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY MUSLIM MEDICAL ASSOCIATION INC
Provider Business Mailing Address
First Line : 711 W FLORENCE AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90044-6105
Country : US
Telephone Number : 323-406-5790
Fax Number :
Provider Business Practice Location Address
First Line : 711 W FLORENCE AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90044-6105
Country : US
Telephone Number : 323-789-6510
Fax Number :
Authorized Official
Title or Position : CEO
Name : ADEL SYED
Credential :
Telephone Number : 323-431-8921
Provider Enumeration Date : 09/26/2012
Last Update Date : 09/27/2023

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Directions to “UNIVERSITY MUSLIM MEDICAL ASSOCIATION INC ” Practice Location

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