Los Angeles County - Covina Mtu

LBN: Los Angeles County - Covina Mtu
Los Angeles County - Covina Mtu is an health care organization with primary practice located at 4400 N Roxburgh Ave , Covina CA 91722-3032. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. Los Angeles County - Covina Mtu can be contacted via phone (626) 967-4445, or through Webber-Christmas, Shavonda via phone (626) 569-6001.

Contact Information

Primary practice address
4400 N Roxburgh Ave Covina CA 91722-3032
Phone: (626) 967-4445
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Webber-Christmas, Shavonda
Phone: (626) 569-6001

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1588719116
LBN Legal business name Los Angeles County - Covina Mtu
DBA Doing business as
Authorized official Webber-Christmas, Shavonda
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 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 1588719116 NPPES
California MEDICAID CCS00113F

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