Organization
POMONA VALLEY COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA DI SARLI (ADMINISTRATION)
(909) 868-6666
Entity
Organization
Contact information
Practice address
1568 N ORANGE GROVE AVE STE A, POMONA, CA 91767-3812
(909) 868-6666
(909) 868-0206
Mailing address
1568 N ORANGE GROVE AVE STE A, POMONA, CA 91767-3812
(909) 868-6666
(909) 868-0206
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
COMMUNITY CLINIC
CA
261QP2300X
Primary Care Clinic/Center
COMMUNITY CLINIC
CA
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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