Eastern Los Angeles Regional Center

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

EASTERN LOS ANGELES REGIONAL CENTER

Practice address

1000 S Fremont Ave
Alhambra, CA 91803-8800

Phone

(626) 299-4700

Fax

(626) 281-1163

NPI assigned

May 7, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Gloria M. Wong

Title

Executive Director

Phone

(626) 299-4738

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881807816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S FREMONT AVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918038800",
            "telephone_number": "626-299-4700",
            "fax_number": "626-281-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S FREMONT AVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918038800",
            "telephone_number": "626-299-4700",
            "fax_number": "626-281-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN LOS ANGELES REGIONAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "626-299-4738",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Duong
• Lucy Duong
• Kelly Duran
• Samantha Leeann Duran
• John Frank Dzencelowcz II
• Nellisa Ebanks
• Amy Ebert, LPCC, PPS
• Edinburg Management Associates Inc (Royal Garden Extended Care Hospital)
• Edmund Lo MD Inc
• Edward M. Lai., a Medical Corporation

• Case Management Agency in Alhambra, CA
• Providers in Alhambra, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.