Covina Valley Urologic Medical Group, Inc.

LBN: Covina Valley Urologic Medical Group, Inc.
Covina Valley Urologic Medical Group, Inc. is an health care organization with primary practice located at 421 E Merced Ave , West Covina CA 91790-5023. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Urology, which is considered as the primary health care specialty. Covina Valley Urologic Medical Group, Inc. can be contacted via phone (626) 918-1881, or through Choe, Sung M via phone (626) 918-1881.

Contact Information

Primary practice address
421 E Merced Ave West Covina CA 91790-5023
Phone: (626) 918-1881
Fax: (626) 918-3618
Website:
Map and Directions
Authorized official contact:
Name: Choe, Sung M Doctor of Medicine (MD)
Phone: (626) 918-1881

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X

Profile Details

NPI number 1407812332
LBN Legal business name Covina Valley Urologic Medical Group, Inc.
DBA Doing business as
Authorized official Choe, Sung M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2006
Last updated Aug 17th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407812332 NPPES
California MEDICAID 00G604841
California MEDICAID 00G604840

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