Organization Active NPI

Lincoln Heights Family and Industrial Medical Clinic

Doing business as West Coast Medical Center

  • Physician Assistant
  • Pomona, CA
National Provider Identifier
1982787206
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 17061 Issued in CA
Legal business name
LINCOLN HEIGHTS FAMILY AND INDUSTRIAL MEDICAL CLINIC
Doing business as
West Coast Medical Center
Practice address
1501 E Holt Ave
Pomona, CA 91767-5823
Phone
(909) 623-3600
Fax
(909) 623-3383
NPI assigned
Oct 23, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Samuel Kwok-Kuen Chung, M.D.
Title
President-Owner
Phone
(909) 623-3600

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 14845 CA
Physician Assistant 363A00000X PA 16663 CA
Physician Assistant 363A00000X PA 17061 CA Primary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X RN 548298 CA
Obstetrics & Gynecology Physician 207V00000X A37294 CA
Pediatrics Physician 208000000X A50856 CA
General Practice Physician 208D00000X A33894 CA

Addresses

Primary practice location

1501 E Holt Ave
Pomona, CA 91767-5823

Mailing address

1501 E Holt Ave
Pomona, CA 91767-5823
Phone (909) 623-3600

Other identifiers 2

IdentifierTypeStateIssuer
GR0056501MedicaidCA
WPA16663AOtherCAPETER LE PPIN

Other names 1

  • WEST COAST MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

1501 E Holt Ave
Pomona, CA 91767
Phone (909) 623-3600

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1982787206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 E HOLT AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675823",
            "telephone_number": "909-623-3600",
            "fax_number": "909-623-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E HOLT AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675823",
            "telephone_number": "909-623-3600",
            "fax_number": "909-623-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN HEIGHTS FAMILY AND INDUSTRIAL MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "KWOK-KUEN",
        "authorized_official_title_or_position": "PRESIDENT-OWNER",
        "authorized_official_telephone_number": "909-623-3600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 14845",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 16663",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 17061",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CA",
            "license": "RN 548298",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A37294",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A50856",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A33894",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0056501",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PETER LE PPIN",
            "identifier": "WPA16663A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST COAST MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.