UNIVERSITY MUSLIM MEDICAL ASSOCIATION INC
NPI 1023831450
Clinic/Center - Federally Qualified Health Center (FQHC) in Los Angeles, CA

Q: What is University Muslim Medical Association Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since November 04, 2024CLIA 05D0932658 · Waiver

316 E 111TH ST, LOS ANGELES, CA 90061(323) 789-5610(323) 789-5616 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About University Muslim Medical Association Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNIVERSITY MUSLIM MEDICAL ASSOCIATION INC (NPI 1023831450), doing business as Locke Wellness Center, is a healthcare organization registered as a federally qualified health center (fqhc) in Los Angeles, California and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through August 24, 2027 and lists Alfredo Reynoso, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1023831450

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameUNIVERSITY MUSLIM MEDICAL ASSOCIATION INC

Location Address316 E 111TH STLos Angeles, CA 90061-3004

Mailing Address6814 Pacific BlvdHuntington Park, CA 90255-4197 · (323) 647-1520 · Fax (323) 789-5616

Phone(323) 789-5610

Fax(323) 789-5616

Organization SubpartNo

Authorized OfficialAlfredo ReynosoChief Operating Officer · (233) 313-5588

Enumeration DateNovember 4, 2024

NPPES CertifiedNovember 4, 2024

✔ NPI 1023831450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedClinic/Center · DentalTaxonomy 261QD0000X

316 E 111TH ST, Los Angeles, CA 90061

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Other Names 1

Doing Business AsLocke Wellness Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0932658

University Muslim Medical Association Inc · Los Angeles, CA

Active · expires Aug 24, 2027

CLIA Number05D0932658

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateAugust 25, 2025

Certificate Expiration DateAugust 24, 2027

Laboratory DirectorSiraj M. Mowjood

Laboratory Phone(323) 647-1520

Laboratory LocationUniversity Muslim Medical Association Inc711 W Florence Ave, Los Angeles, CA 90044

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WATTS HEALTHCARE CORPORATION

Clinic/Center (Federally Qualified Health Center (FQHC))

316 E 111TH ST
LOS ANGELES, CA 90061

Los Angeles County (323) 568-3093

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is University Muslim Medical Association Inc's NPI number?

The NPI number for University Muslim Medical Association Inc is 1023831450. It was assigned to this organization in the NPPES registry on November 4, 2024. The provider is doing business as Locke Wellness Center.

Where is University Muslim Medical Association Inc located?

University Muslim Medical Association Inc is located at 316 E 111th St, Los Angeles, CA 90061. The listed phone number is (323) 789-5610.

What is University Muslim Medical Association Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does University Muslim Medical Association Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0932658) is associated with this NPI, valid through August 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for University Muslim Medical Association Inc was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.