Organization
COVINA EMERGENCY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN KISS M.D. (DIRECTOR)
(626) 331-5534
Entity
Organization
Contact information
Practice address
210 W SAN BERNARDINO RD, EMERGENCY DEPT, COVINA, CA 91723-1515
(626) 331-5534
(626) 967-5506
Mailing address
PO BOX 134, COVINA, CA 91723-0134
(626) 331-5534
(626) 967-5506
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0054210
—
CA
Enumeration date
03/20/2007
Last updated
08/22/2020
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