Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clemencia Bousheri

Individual provider Assisted Living Facility · NPI 1982595534

Clemencia Bousheri is an Assisted Living Facility in Covina, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

21020 E Cienega Ave
Covina, CA 91724-1413
Phone: (626) 967-2868
Fax: (626) 967-0006
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 197802563 (CA)

Record details

NPI number1982595534
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 11, 2025
Last updated in NPPESJuly 11, 2025
Certification dateJuly 11, 2025

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