Doctors Hospital of West Covina Inc

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

HSP36739 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

NPI assigned

Sep 19, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Paul Koo, PHARM.D.

Title

Pharmacist in Charge

Phone

(626) 338-8481

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Doctors Hospital of West Covina Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Doctors Hospital of West Covina, Inc.

  • Institutional Pharmacy
  • West Covina, CA
  • NPI 1922016989
  NPD tax ID

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659366359",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS HOSPITAL OF WEST COVINA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "626-338-8481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "HSP36739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHB367390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie Beverly Dizon, D.D.S., M.S.
• Dmitry Tubis D.D.S., Inc.
• 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

• 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 Aug 22, 2020; 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.