Individual provider · Type 1 NPI
Clemencia Bousheri
Assisted Living Facility · Covina, CA
NPI number
1982595534
Active
Practice location
21020 E Cienega Ave
Covina, CA 91724-1413
Fax (626) 967-0006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 197802563 (CA) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Another provider at this address
About NPI 1982595534
Clemencia Bousheri's National Provider Identifier is 1982595534, issued on Jul 11, 2025. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Covina, CA. The record was last updated on Jul 11, 2025.