Organization
WEST COVINA MEDICAL CENTER
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
333600000X
Pharmacy
Primary
1922016989
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922016989
NPI
CA
Enumeration date
02/19/2015
Last updated
02/19/2015
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