Eli Cho

Individual provider Active NPI Community Health Worker · Eastvale, CA

NPI 1700769460 · NPPES record last updated Jul 30, 2025

Key facts

NPI
1700769460
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
5965 Sendero Ave
Eastvale, CA 92880-6402
Phone
(051) 790-7970
NPI assigned
Jul 30, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

5965 Sendero Ave
Eastvale, CA 92880-6402

Mailing address

5965 Sendero Ave
Eastvale, CA 92880-6402

Other providers in Eastvale, CA

All providers in Eastvale, CA · Community Health Worker in California

Sources for this page

Verify at the official NPI Registry.