Organization
EAST VALLEY COMMUNITY HEALTH CENTER, INC.
Active
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 EXEC. OFFICER)
(626) 919-4333
Entity
Organization
Contact information
Practice address
420 S GLENDORA AVE, WEST COVINA, CA 91790-3001
(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
171M00000X
Case Manager/Care Coordinator
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
960000210
CA
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC12048F
—
CA
05
—
FHC123048F
—
CA
Enumeration date
01/22/2007
Last updated
02/11/2022
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