Provider Demographics
NPI:1578136834
Name:COMMUNITY MEDICINE INC.
Entity Type:Organization
Organization Name:COMMUNITY MEDICINE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:HABIB
Authorized Official - Middle Name:J
Authorized Official - Last Name:HASHMANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-602-2508
Mailing Address - Street 1:8800 ALONDRA BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-4355
Mailing Address - Country:US
Mailing Address - Phone:562-602-2508
Mailing Address - Fax:
Practice Address - Street 1:301 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-4852
Practice Address - Country:US
Practice Address - Phone:714-547-6641
Practice Address - Fax:714-547-6641
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY MEDICINE INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-22
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health