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Organization
CLOVER&CO
Active
Organization
CLOVER&CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIJEA D GALLMON (CEO)
(951) 513-4489
Entity
Organization
Contact information
Practice address
23386 WOODLANDER WAY, MORENO VALLEY, CA 92557-6113
(951) 753-9096
Mailing address
375 REDONDO AVE, LONG BEACH, CA 90814-2656
(951) 753-9096
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
251K00000X
Public Health or Welfare Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
261QE0002X
Emergency Care Clinic/Center
—
NULL
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QS1000X
Student Health Clinic/Center
—
NULL
Other
Enumeration date
03/27/2026
Last updated
03/27/2026
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