NPI: 1366532814
Provider Name: WEST COVINA MEDICAL GROUP, INC.
Other Name: WEST COVINA MEDICAL CLINIC, INC
Classification: Radiology - 2085R0202X
Entity Type: Organization
Specialization: Diagnostic Radiology
Address:
1135 S SUNSET AVE STE 100
WEST COVINA, CA
ZIP 91790
Phone: (626) 960-8614
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WEST COVINA MEDICAL GROUP, INC. is a diagnostic radiology radiology in West Covina, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. WEST COVINA MEDICAL GROUP, INC. NPI is 1366532814. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is West Covina Medical Clinic, Inc.
The provider's business location address is:
1135 S SUNSET AVE STE 100
WEST COVINA, CA
ZIP 91790-938
Phone: (626) 960-8614
Fax: (626) 960-8624
The provider's authorized official is Laura Longley .
The authorized official title is Coo and has the following contact phone number (626) 960-8614.
The enumeration date for this NPI number is 10/13/2006 and was last updated on 8/22/2020.