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Covina Ear Nose & Throat Medical Group Inc
Specialist in Covina, California
NPI 1255479192

Covina Ear Nose & Throat Medical Group Inc is a Specialist based in Covina, CA. Covina Ear Nose & Throat Medical Group Inc practices in Covina, CA. The NPI Number for Covina Ear Nose & Throat Medical Group Inc is 1255479192 and holds a License No. A48653 (California).

The current practice location address for Covina Ear Nose & Throat Medical Group Inc is 202 W College St, Covina, CA and can be reached out via phone at 626-966-2111 and via fax at 626-967-6315.

Location: 202 W College St, Covina, CA, 91723-1902
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255479192
Provider Name
Covina Ear Nose & Throat Medical Group Inc
Credential
Provider Entity Type
Organization
Address
202 W College St, Covina, CA, 91723-1902
Phone Number
626-966-2111
Fax Number
626-967-6315
Provider Enumeration Date
02/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A486530 05 CA
institution
Provider Business Practice Location Address Details
Address
202 W College St
City
Covina
State
California
Zip
91723-1902
Phone Number
626-966-2111
Fax Number
626-967-6315
person
Provider Business Mailing Address Details
Address
202 W College St
City
Covina
State
California
Zip
91723-1902
Phone Number
626-966-2111
Fax Number
626-967-6315
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A48653 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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