Healthcare Provider Details

I. General information

NPI: 1336487263
Provider Name (Legal Business Name): COVENANT BILLING SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2013
Last Update Date: 01/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5817 PINE AVE SUITE B
CHINO HILLS CA
91709-6533
US

IV. Provider business mailing address

5817 PINE AVE SUITE B
CHINO HILLS CA
91709-6533
US

V. Phone/Fax

Practice location:
  • Phone: 866-590-1338
  • Fax: 909-614-7137
Mailing address:
  • Phone: 866-590-1338
  • Fax: 909-614-7137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: TODD BOWERS
Title or Position: PRESIDENT
Credential:
Phone: 866-590-1338