| Evchc - Prototypes | |
|
831 E Arrow Hwy Pomona CA 91767-2535 | |
| (626) 919-4333 | |
| (626) 919-2084 |
| Full Name | Evchc - Prototypes |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 831 E Arrow Hwy, Pomona, 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 |
|---|---|
| Evchc - Prototypes 420 S Glendora Ave West Covina CA 91790-3001 Ph: (626) 919-4333 | Evchc - Prototypes 831 E Arrow Hwy Pomona CA 91767-2535 Ph: (626) 919-4333 |
| NPI Number | 1972844272 |
|---|---|
| Provider Enumeration Date | 03/12/2013 |
| Last Update Date | 03/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972844272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 960000210 (California) | Primary |
Younis & Lamia Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1818 N Orange Grove Ave, Suite 102, Pomona, CA 91767 Phone: 909-622-8791 Fax: 909-865-6223 | |
Acevedo Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1818 N Orange Grove Ave, Suite 305, Pomona, CA 91767 Phone: 909-662-2345 Fax: 909-397-7654 | |
Pomona Valley Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1568 N Orange Grove Ave Ste A, Pomona, CA 91767 Phone: 909-868-6666 Fax: 909-868-0206 | |
Luis Perez, M.d., A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 716 E Mission Blvd, Suite D, Pomona, CA 91766 Phone: 909-865-2332 | |
Chaparral Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Royalty Dr, Suite # 205, Pomona, CA 91767 Phone: 909-622-1963 Fax: 909-622-1995 | |
California State Polytechnic University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3801 W Temple Ave, Pomona, CA 91768 Phone: 909-869-4000 | |
Kenneth W Lee & Associates Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 160 E Artesia St, Suite 140, Pomona, CA 91767 Phone: 909-622-3800 Fax: 909-622-2600 |