Organization
COMMUNITY HEALTH ALLIANCE OF PASADENA
Active
Parent organization
COMMUNITY HEALTH ALLIANCE OF PASADENA
Other names
ChapCare Lake Elizabeth, ChapCare-Lake
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HEALTH ALLIANCE OF PASADENA
Authorized official
MRS. MARCELLA CHAVEZ (BOM)
(626) 993-1238
Entity
Organization
Contact information
Practice address
1595 N LAKE AVE, PASADENA, CA 91104-2307
(626) 993-1262
(626) 486-9656
Mailing address
455 W MONTANA ST, PASADENA, CA 91103-1327
(626) 993-1212
(626) 993-1288
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
550001311
CA
Other
Enumeration date
10/23/2009
Last updated
06/19/2019
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