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CHC10609-07 UNIVERSITY MUSLIM MEDICAL ASSOCIATION, INC (Approved)
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Main Details
Name
UNIVERSITY MUSLIM MEDICAL ASSOCIATION, INC
Subdivision Name
UMMA Health Al Shifa Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-039792
340B ID
CHC10609-07
Grant Number
H80CS10609
Additional Details
Current Program Status
Approved
Registration Date
4/14/2025
Participating Start Date
7/1/2025
Participating Approval Date
5/6/2025
Last Recertification Date
Contacts
Authorizing Official
UMMA Community Clinic
Adel Syed, CEO
(323) 217-7298
Primary Contact
University Muslim Medical Association Inc
Alfredo Reynoso, Chief Operating Officer
(323) 647-1520
Addresses
Street Address
2334 N Sierra Way
San Bernardino, CA 92405-3546
Billing Address
UMMA Community Clinic
711 W. Florence Ave.
Los Angeles, CA 90044
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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