East Valley Community Health Center

LBN: East Valley Community Health Center, Inc.
East Valley Community Health Center is an health care organization with primary practice located at 420 S Glendora Ave , West Covina CA 91790-3001. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. East Valley Community Health Center, Inc. can be contacted via phone (626) 919-5724, or through Mardini, Alicia via phone (626) 919-4333.

Contact Information

Primary practice address
420 S Glendora Ave West Covina CA 91790-3001
Phone: (626) 919-5724
Fax: (909) 623-9648
Website:
Map and Directions
Authorized official contact:
Name: Mardini, Alicia
Phone: (626) 919-4333

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1023134582
LBN Legal business name East Valley Community Health Center, Inc.
DBA Doing business as East Valley Community Health Center
Authorized official Mardini, Alicia
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2007
Last updated Feb 11th, 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 1023134582 NPPES
California MEDICAID EAP12048F

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