Covina Emergency Medical Group, Inc.

LBN: Covina Emergency Medical Group, Inc.
Covina Emergency Medical Group, Inc. is an health care organization with primary practice located at 210 W San Bernardino Rd Emergency Dept, Covina CA 91723-1515. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Covina Emergency Medical Group, Inc. can be contacted via phone (626) 331-5534, or through Kiss, Dan via phone (626) 331-5534.

Contact Information

Primary practice address
210 W San Bernardino Rd Emergency Dept Covina CA 91723-1515
Phone: (626) 331-5534
Fax: (626) 967-5506
Website:
Map and Directions
Authorized official contact:
Name: Kiss, Dan Doctor of Medicine (MD)
Phone: (626) 331-5534

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1841315587
LBN Legal business name Covina Emergency Medical Group, Inc.
DBA Doing business as
Authorized official Kiss, Dan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841315587 NPPES
California MEDICAID GR0054210

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