Organization
PCC HEALTH SERVICES, INC.
Active
Other names
EMMANUEL HEALTH CARE GLENDORA
Organization subpart
No
Provider details
NPI number
Authorized official
JOE PADRE (DIRECTOR OF REIMBURSEMENT)
(818) 248-9808
Entity
Organization
Contact information
Practice address
805 W ARROW HWY, GLENDORA, CA 91740-5413
(626) 331-0781
(626) 332-8835
Mailing address
2258 FOOTHILL BLVD STE 6, LA CANADA, CA 91011-1476
(818) 248-9808
(818) 731-1454
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT06079J
—
CA
Enumeration date
08/08/2006
Last updated
08/22/2020
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