Organization Active NPI

Internal Medicine & Pulmonary Medical Associates

  • Pulmonary Disease Physician
  • West Covina, CA
National Provider Identifier
1396761383
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A34693 Issued in CA
Legal business name
INTERNAL MEDICINE & PULMONARY MEDICAL ASSOCIATES
Practice address
910 S Sunset Ave Ste 2
West Covina, CA 91790-3409
Phone
(626) 962-1094
Fax
(626) 962-0563
NPI assigned
Jul 14, 2006
Last updated
Dec 20, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
INTERNAL MEDICINE & PULMONARY MEDICAL ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Authorized official

Name
Mrs. Jing Che
Title
Office Manager
Phone
(626) 962-1094

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X C42609 CA
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X A34693 CA Primary

Addresses

Primary practice location

910 S Sunset Ave Ste 2
West Covina, CA 91790-3409

Mailing address

910 S Sunset Ave Ste 2
West Covina, CA 91790-3409
Phone (626) 962-1094

Other identifiers 1

IdentifierTypeStateIssuer
GR0061430MedicaidCA

National Provider Directory

National Provider Directory
Part of
Internal Medicine Pulmonar

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513728000000",
    "number": "1396761383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S SUNSET AVE STE 2",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903409",
            "telephone_number": "626-962-1094",
            "fax_number": "626-962-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S SUNSET AVE STE 2",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903409",
            "telephone_number": "626-962-1094",
            "fax_number": "626-962-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE & PULMONARY MEDICAL ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERNAL MEDICINE & PULMONARY MEDICAL ASSOCIATES",
        "enumeration_date": "2006-07-14",
        "last_updated": "2017-12-20",
        "status": "A",
        "authorized_official_last_name": "CHE",
        "authorized_official_first_name": "JING",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-962-1094",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "C42609",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A34693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0061430",
            "state": "CA"
        }
    ],
    "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 20, 2017; 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.