Organization
DOCTORS HOSPITAL OF WEST COVINA, INC.
Active
Other names
Doctors Hospital of West Covina
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD H. WALLMAN (ADMINISTRATOR)
(626) 338-8481
Entity
Organization
Contact information
Practice address
725 S ORANGE AVE, WEST COVINA, CA 91790-2614
(626) 338-8481
(626) 960-9178
Mailing address
725 S ORANGE AVE, WEST COVINA, CA 91790-2614
(626) 338-8481
(626) 960-9178
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
930000188
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC70089F
—
CA
Enumeration date
08/04/2006
Last updated
02/04/2016
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