# DOCTORS HOSPITAL OF WEST COVINA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Doctors Hospital of West Covina Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922016989
- **Authorized official:** DR. PAUL KOO PHARMD (PHARMACY DIRECTOR)
- **Authorized official phone:** (626) 338-8481

## Contact information

- **Practice address:** 725 S ORANGE AVE, WEST COVINA, CA 91790-2614
- **Practice address phone:** (626) 338-8481
- **Practice address fax:** (626) 960-9178
- **Mailing address:** 725 S ORANGE AVE, WEST COVINA, CA 91790-2614
- **Mailing address phone:** (626) 338-8481
- **Mailing address fax:** (626) 960-9178

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | HSP36739 | CA | Yes |
| 3336L0003X | Long Term Care Pharmacy | HSP36739 | CA | — |

## Other

- **Enumeration date:** 08/04/2006
- **Last updated:** 06/05/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | PHB367390 | — | CA |
