Healthcare Provider Details

I. General information

NPI: 1861309783
Provider Name (Legal Business Name): CLOVA HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 SPRINGDALE DR STE 105
EXTON PA
19341-2835
US

IV. Provider business mailing address

740 SPRINGDALE DR STE 105 740 SPRINGDALE DR STE 105
EXTON PA
19341-2835
US

V. Phone/Fax

Practice location:
  • Phone: 610-492-5715
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State

VIII. Authorized Official

Name: DAVID ZENG
Title or Position: PRESIDENT
Credential: PHD
Phone: 610-492-5715