WP Congregate Nursing Living, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WP CONGREGATE NURSING LIVING, INC.

Practice address

1916 E. Lainie St.
West Covina, CA 91792

Phone

(213) 819-1156

NPI assigned

May 21, 2024

Last updated

May 21, 2024By 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

Mrs. Mi Jung Bak, REGISTERED NURSE

Title

Director of Nursing

Phone

(213) 819-1156

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1326887316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 E. LAINIE ST.",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91792",
            "telephone_number": "213-819-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 E. LAINIE ST.",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91792",
            "telephone_number": "213-819-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WP CONGREGATE NURSING LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "BAK",
        "authorized_official_first_name": "MI JUNG",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "213-819-1156",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesley Wong, RN
• Sarah Woo, PHARMD
• Sandi-Rose Wood
• Natalie Janelly Woodruff, PA-C
• Zion N Workalemahu
• Cristie Wright
• Glenn Howard Wright, BA RAS
• Cho-Ying David Wu, M.D.
• George Wu, DDS
• Hui Ju Wu

• Skilled Nursing Facility in West Covina, CA
• Providers in West Covina, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.