# COVINA ENDOSCOPY CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GLENDORA DIGESTIVE DISEASE INSTITUTE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972654762
- **Authorized official:** MR. ALI H SAHEBEKHTIARI MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (626) 858-4600

## Contact information

- **Practice address:** 1794 S BARRANCA AVE, GLENDORA, CA 91740-5421
- **Practice address phone:** (626) 858-4600
- **Practice address fax:** (626) 858-4601
- **Mailing address:** 1794 S BARRANCA AVE, GLENDORA, CA 91740-5421
- **Mailing address phone:** (626) 858-4600
- **Mailing address fax:** (626) 858-4601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | CA | Yes |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 08/22/2020