Central City Community Health Center, INC.
Clinic/Center, Federally Qualified Health Center (FQHC) in Upland, CA. Organization (NPI-2).
NPI number1972040467
StatusActive
Last updated in NPPESDec 13, 2024
Details
- NPI
- 1972040467
- Entity type
- Organization (NPI-2)
- Legal business name
- Central City Community Health Center, INC.
- Organization subpart
- No
- Enumeration date
- Jan 23, 2017
- Certification date
- Dec 13, 2024
- Last updated
- Dec 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Practice location
268 McArthur WayUpland, CA 91786-5615
Phone 323-724-0019
Mailing address
2019 Saturn StMonterey Park, CA 91755-7415
Phone 323-724-0019
Authorized official
Maricela Mendoza
Managed Care Lead
3237240019
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Federally Qualified Health Center (FQHC) providers in Upland, CA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.