JORDAN WELLNESS CENTER
NPI 1114602406
Clinic/Center - Federally Qualified Health Center (FQHC) in Los Angeles, CA

Active since June 15, 2023
10110 JUNIPER ST, LOS ANGELES, CA 90002(323) 789-5610(323) 789-5616 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jordan Wellness Center NPPES

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

JORDAN WELLNESS CENTER (NPI 1114602406) is a healthcare organization registered as a federally qualified health center (fqhc) in Los Angeles, California and active in the NPI registry since June 2023. The organization lists Alfredo Reynoso, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1114602406
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameUNIVERSITY MUSLIM MEDICAL ASSOCIATION INC
Location Address10110 JUNIPER STLos Angeles, CA 90002-3166
Mailing Address711 W Florence AveLos Angeles, CA 90044-6105 · (323) 789-5610
Fax(323) 789-5616
Organization SubpartNo
Authorized OfficialAlfredo ReynosoChief Operating Officer · (323) 313-5588
Enumeration DateJune 15, 2023
Last NPPES UpdateMay 23, 2024
NPPES CertifiedMay 23, 2024
NPI 1114602406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
10110 JUNIPER ST, Los Angeles, CA 90002

Other Names 1

Doing Business AsJordan Wellness Center

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Adult Health)
10110 JUNIPER ST
LOS ANGELES, CA 90002
Nurse Practitioner (Primary Care)
10110 JUNIPER ST
LOS ANGELES, CA 90002
Registered Nurse
10110 JUNIPER ST
LOS ANGELES, CA 90002

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 1114602406. It was assigned to this organization in the NPPES registry on June 15, 2023. The provider is doing business as Jordan Wellness Center.

Where is University Muslim Medical Association Inc located?

University Muslim Medical Association Inc is located at 10110 Juniper St, Los Angeles, CA 90002. 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.

When was this NPI record last updated?

The NPPES record for University Muslim Medical Association Inc was last updated on May 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.