OrganizationActive
Habitat Health West Covina
NPI 1104707157 · PACE Provider Organization · West Covina, CA
Provider details
- NPI number
- 1104707157
- Entity type
- Organization
- Primary specialty
- PACE Provider OrganizationAgencies
- Organization subpart
- No
- Authorized official
- Victoria Cleveland, Manager, New Markets(508) 212-9951
Specialties & taxonomies
Agencies
Practice location
702 N Azusa Ave
West Covina, CA 91791-1010
Phone: (508) 212-9951
Approximate (ZIP-level) locationGet directions
Mailing address
39 Arkansas St
San Francisco, CA 94107-2434
Registry dates
- Enumerated
- 2025-09-08
- Last updated
- 2025-09-08
- Certified
- 2025-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.