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General NPI Number Information
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NPI Number | 1467254706
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Entity Type | Organization
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Legal Business Name | CALIFORNIA COMMUNITY HEALTHCARE
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 1335 CYPRESS ST STE 204
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City | SAN DIMAS
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State | CA
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Zip | 91773-3539
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Country | US
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Telephone | 909-267-8540
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Fax |
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Provider Business Mailing Address
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Address Line | 1335 CYPRESS ST STE 204
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City | SAN DIMAS
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State | CA
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Zip | 91773-3539
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Country | US
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Telephone | 909-267-8540
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Fax |
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Authorized Official
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Title or Position | COO
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Name | ZAHRA R UNWALLA
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Credential |
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Telephone | 909-267-8540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 364SC1501X
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Taxonomy Name | Community Health/Public Health Clinical Nurse Specialist
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License Number |
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License Number State |
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