Provider Demographics
NPI:1972005528
Name:COMMUNITY MEDICAL WELLNESS CENTERS USA
Entity Type:Organization
Organization Name:COMMUNITY MEDICAL WELLNESS CENTERS USA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HUMAN RESOURCES DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIERZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-485-6274
Mailing Address - Street 1:1360 E ANAHEIM ST STE 101
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90813-5515
Mailing Address - Country:US
Mailing Address - Phone:562-270-0324
Mailing Address - Fax:
Practice Address - Street 1:14117 HUBBARD ST UNIT M
Practice Address - Street 2:
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342-4765
Practice Address - Country:US
Practice Address - Phone:818-833-3066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY MEDICAL WELLNESS CENTERS USA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-02-28
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)