Covina Valley Urologic Medical Group, Inc.
LBN: Covina Valley Urologic Medical Group, Inc.
Covina Valley Urologic Medical Group, Inc. is an health care organization with primary practice located at 421 E Merced Ave , West Covina CA 91790-5023. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Urology, which is considered as the primary health care specialty.
Covina Valley Urologic Medical Group, Inc. can be contacted via phone (626) 918-1881, or through Choe, Sung M via phone (626) 918-1881.
Contact Information
Primary practice address
421 E Merced Ave
West Covina CA 91790-5023
Phone: (626) 918-1881
Fax: (626) 918-3618
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Urology | 2088P0231X |
Profile Details
| NPI number | 1407812332 |
|---|---|
| LBN Legal business name | Covina Valley Urologic Medical Group, Inc. |
| DBA Doing business as | |
| Authorized official | Choe, Sung M Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Aug 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407812332 | NPPES |
| California | MEDICAID | 00G604841 | |
| California | MEDICAID | 00G604840 |
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