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Contact Information

AG WEST COVINA, LLC
850 SOUTH SUNKIST AVENUE
WEST COVINA, CA91790
 Phone: 626-962-3368
 Fax: 626-338-3978
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for AG WEST COVINA, LLC

NPI # 1326032814
LBN Legal business name AG WEST COVINA, LLC
Authorized official JACOB WINTNER - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/09/2005
Last updated 07/21/2014 - About 12 years ago
Identifiers
CA License # 950000014
CA Medicaid ZZT05992I
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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