Provider Demographics
NPI:1457744476
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 - 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 1:8540 ALONDRA BLVD STE B2
Mailing Address - Street 2:
Mailing Address - City:PARAMOUNT
Mailing Address - State:CA
Mailing Address - Zip Code:90723-5200
Mailing Address - Country:US
Mailing Address - Phone:562-602-2508
Mailing Address - Fax:562-602-2382
Practice Address - Street 1:8540 ALONDRA BLVD STE B2
Practice Address - Street 2:
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723-5200
Practice Address - Country:US
Practice Address - Phone:562-602-2508
Practice Address - Fax:562-602-2382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-16
Last Update Date:2022-11-07
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
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1457744476Medicaid