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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1174251516 | NPPES |
California | Other | 960000210 | STATE OF CALIFORNIA DEPT OF PUBLIC HEALTH |
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