Active NPI
Internal Medicine & Pulmonary Medical Associates
- Pulmonary Disease Physician
- West Covina, CA
National Provider Identifier
1396761383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- A34693
- 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, 2017
- Organization subpart
- Yes
- Parent organization
- INTERNAL MEDICINE & PULMONARY MEDICAL ASSOCIATES
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | C42609 | CA | |
| Pulmonary Disease Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0061430 | Medicaid | CA |
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.