Healthcare Provider Details

I. General information

NPI: 1609193796
Provider Name (Legal Business Name): EMCL ALLIANCE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2010
Last Update Date: 11/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5043 PECK RD
EL MONTE CA
91732-1423
US

IV. Provider business mailing address

5043 PECK RD
EL MONTE CA
91732-1423
US

V. Phone/Fax

Practice location:
  • Phone: 626-579-1602
  • Fax: 626-579-6064
Mailing address:
  • Phone: 626-579-1602
  • Fax: 626-579-6064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. ELIACIM QUINONES
Title or Position: CEO - MANAGING MEMBER
Credential:
Phone: 626-444-2535