Healthcare Provider Details

I. General information

NPI: 1689599755
Provider Name (Legal Business Name): EAST VALLEY COMMUNITY HEALTH CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 E HOLT AVE STE 100
POMONA CA
91767-5878
US

IV. Provider business mailing address

420 S GLENDORA AVE
WEST COVINA CA
91790-3001
US

V. Phone/Fax

Practice location:
  • Phone: 626-919-4333
  • Fax: 626-919-2084
Mailing address:
  • Phone: 626-919-4333
  • Fax: 626-919-2084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: LELENIA RAMIREZ-NAVARRO
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 626-919-4333