| County Of Los Angeles | |
|
1359 N Grand Ave Covina CA 91724-1016 | |
| (626) 430-2900 | |
| Not Available |
| Full Name | County Of Los Angeles |
|---|---|
| Speciality | Clinic/center |
| Location | 1359 N Grand Ave, Covina, California |
| Authorized Official Name and Position | Michael Owens (DIRECTOR, EDIM) |
| Authorized Official Contact | 2132888695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Los Angeles 5555 Ferguson Dr Ste 310-15 Commerce CA 90022-5164 Ph: (323) 914-7773 | County Of Los Angeles 1359 N Grand Ave Covina CA 91724-1016 Ph: (626) 430-2900 |
| NPI Number | 1518589266 |
|---|---|
| Provider Enumeration Date | 05/15/2020 |
| Last Update Date | 05/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518589266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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