NPIMap

Organization Active NPI

Doctors Hospital of West Covina, Inc.

  • Institutional Pharmacy
  • West Covina, CA
National Provider Identifier
1922016989
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
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
Fax
(626) 960-9178
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Authorized official

Name
Dr. Paul Koo, PHARMD
Title
Pharmacy Director
Phone
(626) 338-8481

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X HSP36739 CA Primary
Long Term Care Pharmacy 3336L0003X HSP36739 CA

Addresses

Primary practice location

725 S Orange Ave
West Covina, CA 91790-2614

Mailing address

725 S Orange Ave
West Covina, CA 91790-2614
Phone (626) 338-8481

Other identifiers 1

IdentifierTypeStateIssuer
PHB367390MedicaidCA

Other names 1

  • Doctors Hospital of West Covina Pharmacy Doing business as

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1922016989",
    "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",
            "fax_number": "626-960-9178"
        },
        {
            "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",
            "fax_number": "626-960-9178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS HOSPITAL OF WEST COVINA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "KOO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "626-338-8481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "CA",
            "license": "HSP36739",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "HSP36739",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHB367390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Hospital of West Covina Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 5, 2014; 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.