MEDICARE: PINNACLE HEALTH CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		CA

General Provider Information

NPI Number	:	1669524831
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PINNACLE HEALTH CORPORATION

Provider Business Mailing Address
First Line	:	408 S BEACH BLVD SUITE 215
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92804
Country	:	US
Telephone Number	:	714-527-0887
Fax Number	:

Provider Business Practice Location Address
First Line	:	408 S BEACH BLVD STE 215
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92804-1892
Country	:	US
Telephone Number	:	714-527-0887
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MISS ANGELA GARROVILLO PONCE DE LEON
Credential	:
Telephone Number	:	714-527-0887

Provider Enumeration Date	:	01/17/2007
Last Update Date	:	08/22/2020

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Directions to “PINNACLE HEALTH CORPORATION ” Practice Location

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