Copa de Oro Community Health Center

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

COPA DE ORO COMMUNITY HEALTH CENTER

Practice address

12052 Imperial Hwy
Ste 102
Norwalk, CA 90650

Phone

(562) 261-9330

Fax

(562) 543-3134

NPI assigned

Oct 3, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mohammad Sadegh Dolatabadi

Title

Ceo

Phone

(310) 404-7171

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1730908146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD STE 1112",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12052 IMPERIAL HWY",
            "address_2": "STE 102",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "90650",
            "telephone_number": "562-261-9330",
            "fax_number": "562-543-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPA DE ORO COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "DOLATABADI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "SADEGH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-404-7171"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Consumerhealth, Inc. (Newport Dental - Norwalk Rosecrans)
• Daniela Contreras
• Mayra Yesenia Contreras
• Lester Cook, M.D.
• Brenna Eileen Coolbaugh, DMD
• Copa de Oro Medical Group Inc
• Ash Tajarros Cordero, FNP
• Tibisay Cordoba
• Aide Rosa Cordova
• Muriel Cormier, LCSW

• Community Health Clinic/Center in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.