ST JOHN COMMUNITY HEALTH CENTER NPI 1962069393

NPI Information

ST JOHN COMMUNITY HEALTH CENTER is a community health clinic center in Pomona, CA. ST JOHN COMMUNITY HEALTH CENTER NPI is 1962069393. The provider is registered as an organization entity type.

The provider's business location address is:

2112 S GAREY AVE STE C
POMONA, CA
ZIP 91766-600
Phone: (909) 464-0520
Fax: (909) 464-0523

The provider's authorized official is Valerie Ann Franco .
The authorized official title is Cfo and has the following contact phone number (909) 464-0520.

The CLIA number assigned to this NPI record is 05D0871400 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/21/2019 and was last updated on 5/21/2019.

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:

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