POMONA VALLEY COMMUNITY HEALTH CENTER NPI 1043565096

NPI Information

NPI: 1043565096
Provider Name: POMONA VALLEY COMMUNITY HEALTH CENTER
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

CLIA Number: 05D0952073

Address:
1568 N ORANGE GROVE AVE STE A
POMONA, CA
ZIP 91767
Phone: (909) 868-6666
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POMONA VALLEY COMMUNITY HEALTH CENTER is a community health clinic center in Pomona, CA. POMONA VALLEY COMMUNITY HEALTH CENTER NPI is 1043565096. The provider is registered as an organization entity type.

The provider's business location address is:

1568 N ORANGE GROVE AVE STE A
POMONA, CA
ZIP 91767-812
Phone: (909) 868-6666
Fax: (909) 868-0206

The provider's authorized official is Laura Di Sarli .
The authorized official title is Administration and has the following contact phone number (909) 868-6666.

The CLIA number assigned to this NPI record is 05D0952073 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/16/2012 and was last updated on 7/16/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	COMMUNITY CLINIC	CALIFORNIA	No
2	261QC1500X	Clinic/Center	Community Health	COMMUNITY CLINIC	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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