West Covina Medical Group

LBN: West Covina Medical Clinic
West Covina Medical Group is an health care organization with primary practice located at 1500 W West Covina Pkwy , West Covina CA 91790-2707. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. West Covina Medical Clinic can be contacted via phone (626) 960-8614, or through Weiner, Kerry via phone (818) 637-2000.

Contact Information

Primary practice address
1500 W West Covina Pkwy West Covina CA 91790-2707
Phone: (626) 960-8614
Fax: (626) 960-9177
Website:
Map and Directions
Authorized official contact:
Name: Weiner, Kerry Doctor of Medicine (MD)
Phone: (818) 637-2000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1386789311
LBN Legal business name West Covina Medical Clinic
DBA Doing business as West Covina Medical Group
Authorized official Weiner, Kerry Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2007
Last updated Feb 21st, 2008 - about 17 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 1386789311 NPPES
California Other 1101890001 MEDICARE SUPPLIER
California MEDICAID GR0105950 MEDICARE SUPPLIER

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