West Covina Medical Group, Inc. in West Covina - Physician Assistant
West Covina Medical Group, Inc. - NPI 1366532814
West Covina Medical Group, Inc. is a Physician Assistant in West Covina, California. West Covina Medical Group, Inc. practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for West Covina Medical Group, Inc. is 1366532814. The last update date is 2020-08-22.
West Covina Medical Group, Inc.'s current location address is 1135 S Sunset Ave Ste 100, West Covina, California. You can contact this provider via phone number 6269608614 and fax number 6269608624. The mailing address for West Covina Medical Group, Inc. is 1135 S Sunset Ave Ste 100, West Covina, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | West Covina Medical Group, Inc. |
|---|---|
| Address | 1135 S Sunset Ave Ste 100, West Covina, California |
| Phone Number | 6269608614 |
| Fax Number | 6269608624 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | COO |
|---|---|
| Authorized Official Name | Longley Laura |
| Telephone Number | 6269608614 |
NPI Number Detail
| NPI Number | 1366532814 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1135 S Sunset Ave Ste 100 |
|---|---|
| City | West Covina |
| State | California (CA) |
| Post Code | 917903938 |
| Phone Number | 6269608614 |
| Fax Number | 6269608624 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ32579Z | CA | MEDICAL |
Post Comment/ Review Below
What is the unique provider identifier assigned to West Covina Medical Group, Inc.?
The West Covina Medical Group, Inc. has been issued the NPI (National Provider Identifier) 1366532814 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of West Covina Medical Group, Inc.?
The West Covina Medical Group, Inc. is situated at 1135 S Sunset Ave Ste 100, in the city of West Covina, state of CA, with the zip code 917903938.
What is West Covina Medical Group, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for West Covina Medical Group, Inc. is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
When did West Covina Medical Group, Inc. receive its 1366532814 assignment?
The West Covina Medical Group, Inc. was assigned its 1366532814 on 2006-10-13, which is the date when this unique identifier was issued to the organization.
When was the information regarding West Covina Medical Group, Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to West Covina Medical Group, Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA