# PCC HEALTH SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EMMANUEL HEALTH CARE WEST COVINA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538171236
- **Authorized official:** JOE PADRE (DIRECTOR OF REIMBURSEMENT)
- **Authorized official phone:** (818) 248-9808

## Contact information

- **Practice address:** 1495 W CAMERON AVE, WEST COVINA, CA 91790-2710
- **Practice address phone:** (626) 962-4461
- **Practice address fax:** (626) 962-2903
- **Mailing address:** 2258 FOOTHILL BLVD STE 6, LA CANADA, CA 91011-1476
- **Mailing address phone:** (818) 248-9808
- **Mailing address fax:** (818) 541-7072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 950000009 | CA | Yes |

## Other

- **Enumeration date:** 08/12/2006
- **Last updated:** 04/22/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC062281 | — | CA |