| East Valley Community Health Center | |
|
17800 Renault St La Puente CA 91744-5333 | |
| (626) 919-4333 | |
| (626) 919-2084 |
| Full Name | East Valley Community Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 17800 Renault St, La Puente, California |
| Authorized Official Name and Position | Alicia Mardini (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6269194333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Valley Community Health Center 420 S Glendora Ave West Covina CA 91790-3001 Ph: (626) 919-4333 | East Valley Community Health Center 17800 Renault St La Puente CA 91744-5333 Ph: (626) 919-4333 |
| NPI Number | 1174251516 |
|---|---|
| Provider Enumeration Date | 08/12/2022 |
| Last Update Date | 08/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174251516 | NPI | - | NPPES |
| 960000210 | Other | CA | STATE OF CALIFORNIA DEPT OF PUBLIC HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
New Valley Pediatric Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1840 N Hacienda Blvd Ste 4, La Puente, CA 91744 Phone: 626-727-2150 | |
Clinica Medica Familiar La Puente Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1840 N Hacienda Blvd Ste 3, La Puente, CA 91744 Phone: 626-350-7088 Fax: 626-350-8850 | |
Southern California Infectious Disease Physicians Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18335 E Valley Blvd, La Puente, CA 91744 Phone: 626-810-3330 Fax: 626-964-0440 | |
Friends Of Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 565 S Azusa Way, La Puente, CA 91744 Phone: 626-913-4795 Fax: 562-690-3182 | |
La Puente Sub Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15930 Central Ave, La Puente, CA 91744 Phone: 626-579-8302 | |
Clinica Medica Del Sol Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1431 N Hacienda Blvd, La Puente, CA 91744 Phone: 626-918-3828 Fax: 626-918-3538 |