Organization
EAST VALLEY COMMUNITY HEALTH CENTER, INC.
Active
Organization
EAST VALLEY COMMUNITY HEALTH CENTER, INC.
Active
Other names
EVCHC - Willow Center
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA MARDINI (CHIEF EXECUTIVE OFFICER)
(626) 919-4333
Entity
Organization
Contact information
Practice address
14101 NELSON AVE, LA PUENTE, CA 91746-2640
(626) 919-4333
(626) 919-2084
Mailing address
420 S GLENDORA AVE, WEST COVINA, CA 91790-3001
(626) 919-4333
(626) 919-2084
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
960000210
CA
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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