| NPI | 1922160845 |
|---|---|
| Other Name | FAMILY MEDICAL CENTER OF WEST COVINA |
| Entity Type | Organization |
| Authorized Contact | SISIRA K GUNAWARDANE President Of Corporation 626-960-5461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A33761) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2007-12-18 |