Organization
POMONA VALLEY HOSPITAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULI HESTER (EXECUTIVE DIRECTOR OF FINANCE)
(909) 865-9881
Entity
Organization
Contact information
Practice address
1798 N. GAREY AVE., POMONA, CA 91767
(909) 865-9500
(909) 620-0479
Mailing address
1798 N. GAREY AVE., POMONA, CA 91767
(909) 865-9500
(909) 620-0479
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050231
BLUE CROSS
CA
05
—
HSC30231F
—
CA
05
—
LTC55502F
—
CA
05
—
ZZT30231F
—
CA
05
—
ZZT40231F
—
CA
01
—
ZZZA1924Z
BLUE SHIELD
CA
Enumeration date
04/28/2006
Last updated
03/20/2014
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