Active NPI
Queen Emergency Physicians, a Medical Corporation
- Emergency Medicine Physician
- West Covina, CA
National Provider Identifier
1356412068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- QUEEN EMERGENCY PHYSICIANS, A MEDICAL CORPORATION
- Practice address
- 1115 S Sunset Ave
West Covina, CA 91790-3940 - Phone
- (626) 814-2434
- NPI assigned
- Nov 13, 2006
- Last updated
- Dec 23, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Angel L Iscovich, MD
- Title
- President
- Phone
- (469) 401-2386
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X | |||
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
1115 S Sunset Ave
West Covina, CA 91790-3940
Mailing address
13737 Noel Rd
Ste 1600
Dallas, TX 75240-1331
Phone (469) 401-2386
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1205884517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1387756800000",
"number": "1356412068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13737 NOEL RD",
"address_2": "STE 1600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752401331",
"telephone_number": "469-401-2386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 S SUNSET AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903940",
"telephone_number": "626-814-2434"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUEEN EMERGENCY PHYSICIANS, A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-13",
"last_updated": "2013-12-23",
"status": "A",
"authorized_official_last_name": "ISCOVICH",
"authorized_official_first_name": "ANGEL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "469-401-2386",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.