Doctors Hospital of West Covina, Inc.

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

930000188 Issued in CA

Legal business name

DOCTORS HOSPITAL OF WEST COVINA, INC.

Practice address

725 S Orange Ave
West Covina, CA 91790-2614

Phone

(626) 338-8481

Fax

(626) 960-9178

NPI assigned

Aug 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Gerald H. Wallman

Title

Administrator

Phone

(626) 338-8481

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Doctors Hospital of West Covina Doing business as

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1104834167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 S ORANGE AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902614",
            "telephone_number": "626-338-8481",
            "fax_number": "626-960-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S ORANGE AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902614",
            "telephone_number": "626-338-8481",
            "fax_number": "626-960-9178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS HOSPITAL OF WEST COVINA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "WALLMAN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-338-8481",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "930000188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103925072",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Hospital of West Covina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jonathan DO, D.D.S.
• Min C DO, DDS
• Jade Doctorian
• Doctors Hospital of West Covina Inc
• Doctors Hospital of West Covina, Inc.
• Doctors Hospital of West Covina, Inc.
• Miguel Isleta Domingo, M.D.
• Arturo Dominguez, PA-C
• Emil R Dominguez Jr., M.D
• Ilene Dominguez, PHARM.D.

• General Acute Care Hospital in West Covina, CA
• Providers in West Covina, CA by specialty
• General Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.