Organization · Type 2 NPI

East Valley Community Health Center, Inc.

Federally Qualified Health Center (FQHC) · Covina, CA

NPI number 1285046847 Active

Practice location

276 West College Street
Covina, CA 91723-1902

Call (626) 919-4333 Map

Fax (626) 919-2084

Mailing address

420 South Glendora Avenue
West Covina, CA 91790-3001

Specialties and licenses

Taxonomy	Code	License
Case Manager/Care Coordinator	171M00000X	None listed
Federally Qualified Health Center (FQHC)	261QF0400X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	960000806 (CA)

Federally Qualified Health Center (FQHC): Definition to come...

NPI record

NPI: 1285046847
Entity type: Organization (Type 2)
Issued: May 29, 2014
Last updated: Feb 11, 2022
Status: Active

Other names

<unavail>
East Valley Community Health Center, Inc.-Intercommunity Campus · other name
East Valley Community Health Center, Inc.-Intercommunity Campus · other name

Authorized official

Alicia Mardini
Chief Exec. Officer
(626) 919-4333

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1285046847

East Valley Community Health Center, Inc.'s National Provider Identifier is 1285046847, issued on May 29, 2014. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Covina, CA. The record was last updated on Feb 11, 2022.