East Valley Community Health Center

LBN: East Valley Community Health Center
East Valley Community Health Center is an health care organization with primary practice located at 17800 Renault St , La Puente CA 91744-5333. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. East Valley Community Health Center can be contacted via phone (626) 919-4333, or through Mardini, Alicia via phone (626) 919-4333.

Contact Information

Primary practice address
17800 Renault St La Puente CA 91744-5333
Phone: (626) 919-4333
Fax: (626) 919-2084
Website:
Map and Directions
Authorized official contact:
Name: Mardini, Alicia
Phone: (626) 919-4333

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1174251516
LBN Legal business name East Valley Community Health Center
DBA Doing business as
Authorized official Mardini, Alicia
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2022
Last updated Aug 12th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174251516 NPPES
California Other 960000210 STATE OF CALIFORNIA DEPT OF PUBLIC HEALTH

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