Covina Dermatology Center

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

COVINA DERMATOLOGY CENTER

Practice address

315 N 3Rd Avenue
Ste 304
Covina, CA 91723-1916

Phone

(626) 332-7522

NPI assigned

Jul 10, 2006

Last updated

Feb 4, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joy Fortich

Title

Billing Supervisor

Phone

(909) 860-7600

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1003840521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 15807",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90209",
            "telephone_number": "908-860-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N 3RD AVENUE",
            "address_2": "STE 304",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231916",
            "telephone_number": "626-332-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVINA DERMATOLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "FORTICH",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "909-860-7600"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kielee Courts
• Melanie Aylin Covarrubias Pelayo
• Covina Cancer Care Medical Center, Inc.
• Covina Care Center, Inc. (Covina Rehabilitation Center)
• Covina Court Senior Living, LLC
• Covina Ear Nose & Throat Medical Group Inc
• Covina Emergency Medical Group, Inc.
• Covina Eyecare Optometry Inc (Edwin Wu, O.D.)
• Covina Eyecare Optometry Inc. (Raymond Wu, O.D.)
• Covina Healthcare Inc (Rite Care Pharmacy)

• Specialist in Covina, CA
• Providers in Covina, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.