EAST VALLEY COMMUNITY HEALTH CENTER INC. NPI 1649324443

NPI Information

EAST VALLEY COMMUNITY HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in Pomona, CA. EAST VALLEY COMMUNITY HEALTH CENTER, INC. NPI is 1649324443. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As East Valley Community Health Center.

The provider's business location address is:

1555 S GAREY AVE
POMONA, CA
ZIP 91766-222
Phone: (909) 620-8088
Fax: (909) 623-4861

The provider's authorized official is Alicia Mardini .
The authorized official title is Chief Exec. Officer and has the following contact phone number (626) 919-4333.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 2/11/2022.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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