West Covina Medical Group, Inc.
NPI #1366532814 in West Covina, California
Provider Information
- NPI Number
- 1366532814
- Entity Type
- Organization
- Organization Name
- West Covina Medical Group, Inc.
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Oct 13, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 1135 S SUNSET AVE STE 100
- City
- West Covina
- State
- California
- ZIP Code
- 91790-3938
- Phone
- (626) 960-8614
Authorized Official
- Name
- LAURA LONGLEY
- Title
- COO
- Phone
- (626) 960-8614
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
| Physician Assistant |
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