| Organization Name: | COMMUNITY HEALTH ALLIANCE OF PASADENA |
| NPI Number: | 1578808200 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARGARET BANDA MARTINEZ (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 10408 Vacco St Suite A South El Monte |
| State: | CA US |
| Postal Code: | 917333328 |
| Phone Number: | 6264869640 |
| Fax Number: | 6264869654 |
| NPI Enumeration Date: | 12/06/2012 |
| NPI Last Update Date: | 11/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | 550002384 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |