Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

West Covina Medical Group, Inc

Organization Family Medicine Physician · NPI 1366532814

West Covina Medical Group, Inc is a Family Medicine Physician in West Covina, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1135 S Sunset Ave Ste 100
West Covina, CA 91790-3938
Phone: (626) 960-8614
Fax: (626) 960-8624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (CA)
Family Medicine Physician Taxonomy 207Q00000X
Diagnostic Radiology Physician Taxonomy 2085R0202X (CA)

Record details

NPI number1366532814
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Longley — Coo · (626) 960-8614
Other names West Covina Medical Clinic, Inc
NPI enumeratedOctober 13, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address1135 S Sunset Ave Ste 100, West Covina, CA 91790-3938

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