Organization
COVINA EAR NOSE & THROAT MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES GARNER WILLIAMS MD (PRESIDENT)
(626) 966-2111
Entity
Organization
Contact information
Practice address
202 W COLLEGE ST, COVINA, CA 91723-1902
(626) 966-2111
(626) 967-6315
Mailing address
202 W COLLEGE ST, COVINA, CA 91723-1902
(626) 966-2111
(626) 967-6315
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A48653
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A486530
—
CA
Enumeration date
02/02/2007
Last updated
09/27/2020
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