# POMONA VALLEY COMMUNITY HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043565096
- **Authorized official:** LAURA DI SARLI (ADMINISTRATION)
- **Authorized official phone:** (909) 868-6666

## Contact information

- **Practice address:** 1568 N ORANGE GROVE AVE STE A, POMONA, CA 91767-3812
- **Practice address phone:** (909) 868-6666
- **Practice address fax:** (909) 868-0206
- **Mailing address:** 1568 N ORANGE GROVE AVE STE A, POMONA, CA 91767-3812
- **Mailing address phone:** (909) 868-6666
- **Mailing address fax:** (909) 868-0206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | COMMUNITY CLINIC | CA | Yes |
| 261QP2300X | Primary Care Clinic/Center | COMMUNITY CLINIC | CA | — |

## Other

- **Enumeration date:** 07/16/2012
- **Last updated:** 07/16/2012