Organization · Type 2 NPI

Community Health Alliance of Pasadena

Federally Qualified Health Center (FQHC) · Pasadena, CA

NPI number 1720395874 Active

Practice location

3160 E Del Mar Blvd, Suite 100
Pasadena, CA 91107-4649

Call (626) 389-8715 Map

Fax (626) 993-1279

Mailing address

455 W Montana St
Pasadena, CA 91103-1327

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	550001432 (CA)

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

12 other providers at this address

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NPI record

NPI: 1720395874
Entity type: Organization (Type 2)
Issued: Sep 10, 2010
Last updated: Nov 5, 2015
Status: Active
Subpart: Yes of Community Health Alliance of Pasadena

Other names

<unavail>
Chapcare-Del Mar · doing business as

Authorized official

Ms. Margaret Banda Martinez, MPH
Chief Executive Officer
(626) 993-1227

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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.

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About NPI 1720395874

Community Health Alliance of Pasadena's National Provider Identifier is 1720395874, issued on Sep 10, 2010. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Pasadena, CA. The record was last updated on Nov 5, 2015.