Organization
EAST VALLEY COMMUNITY HEALTH CENTER, INC
Active
Other names
East Valley Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALICIA MARDINI (CHIEF EXECUTIVE OFFICER)
(626) 919-4333
Entity
Organization
Contact information
Practice address
420 S GLENDORA AVE, WEST COVINA, CA 91790-3001
(626) 919-5724
(909) 623-9648
Mailing address
420 S GLENDORA AVE, WEST COVINA, CA 91790-3001
(626) 919-5724
(909) 623-9648
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HAP12048F
—
CA
Enumeration date
03/22/2007
Last updated
08/22/2020
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