West Covina Medical Clinic, Inc

LBN: West Covina Medical Group, Inc.
West Covina Medical Clinic, Inc is an health care organization with primary practice located at 1135 S Sunset Ave Ste 100 , West Covina CA 91790-3938. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. West Covina Medical Group, Inc. can be contacted via phone (626) 960-8614, or through Longley, Laura via phone (626) 960-8614.

Contact Information

Primary practice address
1135 S Sunset Ave Ste 100 West Covina CA 91790-3938
Phone: (626) 960-8614
Fax: (626) 960-8624
Website:
Map and Directions
Authorized official contact:
Name: Longley, Laura
Phone: (626) 960-8614

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X California

Profile Details

NPI number 1366532814
LBN Legal business name West Covina Medical Group, Inc.
DBA Doing business as West Covina Medical Clinic, Inc
Authorized official Longley, Laura
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1366532814 NPPES
California Other ZZZ32579Z MEDICAL

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