Covina Valley Urologic Medical Group, Inc. in West Covina - Pediatric Urology
Covina Valley Urologic Medical Group, Inc. - NPI 1407812332
Covina Valley Urologic Medical Group, Inc. is a Pediatric Urology in West Covina, California. Covina Valley Urologic Medical Group, Inc. practices all healthcare services and medical treatments related to Pediatric Urology. The NPI Number for Covina Valley Urologic Medical Group, Inc. is 1407812332. The last update date is 2020-08-17.
Covina Valley Urologic Medical Group, Inc.'s current location address is 421 E Merced Ave, West Covina, California. You can contact this provider via phone number 6269181881 and fax number 6269183618. The mailing address for Covina Valley Urologic Medical Group, Inc. is 421 E Merced Ave, West Covina, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Covina Valley Urologic Medical Group, Inc. |
|---|---|
| Address | 421 E Merced Ave, West Covina, California |
| Phone Number | 6269181881 |
| Fax Number | 6269183618 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Choe M Sung |
| Credentials | M.D. |
| Telephone Number | 6269181881 |
NPI Number Detail
| NPI Number | 1407812332 |
|---|---|
| Provider Enumeration Date | 2006-04-20 |
| Last Updated Date | 2020-08-17 |
Provider Mailing Address Detail
| Address | 421 E Merced Ave |
|---|---|
| City | West Covina |
| State | California (CA) |
| Post Code | 917905023 |
| Phone Number | 6269181881 |
| Fax Number | 6269183618 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Urology |
|---|---|
| Taxonomy | 2088P0231X |
|
Definition: Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G604841 | CA | -- | |
| 00G604840 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Covina Valley Urologic Medical Group, Inc. by the Centers for Medicare & Medicaid Services?
The Covina Valley Urologic Medical Group, Inc. has been issued the NPI (National Provider Identifier) 1407812332, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Covina Valley Urologic Medical Group, Inc. is geographically located?
The Covina Valley Urologic Medical Group, Inc. is physically situated at the following location: 421 E Merced Ave, West Covina, CA, 917905023.
What is Covina Valley Urologic Medical Group, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Covina Valley Urologic Medical Group, Inc.'s area of specialization is Pediatric Urology, and the corresponding taxonomy code that categorizes this field of practice is 2088P0231X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1407812332 to Covina Valley Urologic Medical Group, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1407812332 to Covina Valley Urologic Medical Group, Inc. on 2006-04-20.
As of what date was the information regarding Covina Valley Urologic Medical Group, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Covina Valley Urologic Medical Group, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-17.