West Covina Medical Center Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

53643 Issued in CA

Legal business name

WEST COVINA MEDICAL CENTER INC

Practice address

725 S Orange Ave
West Covina, CA 91790-2614

Phone

(626) 502-1991

Fax

(626) 502-1971

NPI assigned

Jul 14, 2016

Organization subpart

No

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

Authorized official

Name

Paul Koo

Title

Pic

Phone

(626) 502-1991

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• West Covina Medical Center Pharmacy Doing business as

Tax ID family

West Covina Medical Center2 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.

• West Covina Medical Center

  • Pharmacy
  • West Covina, CA
  • NPI 1427440049
  NPD tax ID

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1922451905",
    "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": "626-502-1991",
            "fax_number": "626-502-1971"
        },
        {
            "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": "626-502-1991",
            "fax_number": "626-502-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COVINA MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "KOO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "626-502-1991"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "53643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160697",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Covina Medical Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• West Covina Dental Care- in Care of Miguel Montes DDS
• West Covina Dental Group
• West Covina Home Care LLC
• West Covina Home Health Care LLC
• West Covina Medical Center
• West Covina Medical Center, Inc.
• West Covina Medical Center, Inc.
• West Covina Medical Clinic
• West Covina Medical Group, Inc.
• West Covina Unified School District

• Long Term Care Pharmacy in West Covina, CA
• Providers in West Covina, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.