| NPI | 1366532814 |
|---|---|
| Other Name | WEST COVINA MEDICAL CLINIC, INC |
| Entity Type | Organization |
| Authorized Contact | LAURA LONGLEY COO 626-960-8614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |