Organization
WEST COVINA MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKI P ROLLINS RN (VICE-PRESIDENT)
(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
—
930000188
—
CA
Enumeration date
02/25/2015
Last updated
07/21/2016
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