Organization · Type 2 NPI

Emanate Health Medical Center

Skilled Nursing Facility · West Covina, CA

NPI number 1740214808 Active

Practice location

1115 S Sunset Ave
West Covina, CA 91790-3940

Call (626) 962-4011 Map

Mailing address

DEPT# 0147
Los Angeles, CA 90084-0147

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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NPI record

NPI: 1740214808
Entity type: Organization (Type 2)
Issued: Jul 11, 2006
Last updated: Oct 27, 2020
Status: Active
Subpart: Yes of Emanate Health

Other names

<unavail>
Emanate Health Queen of the Valley Hospital · doing business as
Citrus Valley Medical Center Inc · former legal business name
Citrus Valley Medical Center Inc · former legal business name

Authorized official

Roger Sharma
Executive VP/cfo
(626) 938-7595

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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 1740214808

Emanate Health Medical Center's National Provider Identifier is 1740214808, issued on Jul 11, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in West Covina, CA. The record was last updated on Oct 27, 2020.