COMMUNITY HEALTH ALLIANCE OF PASADENA
Ambulatory Health at Lake Ave, Pasadena, CA

License number
California 550001311
Category
Ambulatory Health
Type
Federally Qualified Health Center (FQHC)
Owner
Name: MS. MARGARET BANDA MARTINEZ MPH
Title: CHIEF EXECUTIVE OFFICER
Phone: (626) 993-1227
Address
Address
1800 N Lake Ave, Pasadena, CA 91104
National Provider ID: 1063748242
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Community Health Alliance of Pasadena

Pasadena, CA

Doing business as:
Chap
Registration:
Mar 22, 1995
Phone:
(626) 398-6300 (Phone)
Addresses:
PO Box 94873, Pasadena, CA 91109
1855 N Fair Oaks Ave, Pasadena, CA 91103
837 S Fair Oaks Ave, Pasadena, CA 91105
State ID:
C1760695
Business type:
Articles of Incorporation
Medical Doctors:
Socorro Hernandez (Manager),Cindy Evangelista (Physician Assistant),Celena Rodriguez (Medical Director),...
Agent:
Margaret B Martinez,Pasadena, CA 91105 (Physical)

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