Organization
COVINA VALLEY UROLOGIC MEDICAL GROUP, INC.
Active
Organization
COVINA VALLEY UROLOGIC MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNG M CHOE M.D. (PRESIDENT)
(626) 918-1881
Entity
Organization
Contact information
Practice address
421 E MERCED AVE, WEST COVINA, CA 91790-5023
(626) 918-1881
(626) 918-3618
Mailing address
421 E MERCED AVE, WEST COVINA, CA 91790-5023
(626) 918-1881
(626) 918-3618
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G604840
—
CA
05
—
00G604841
—
CA
Enumeration date
04/20/2006
Last updated
08/17/2020
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