Healthcare Provider Details

I. General information

NPI: 1932920683
Provider Name (Legal Business Name): MONARCH VITAL CARE MEDICAL GROUP INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2024
Last Update Date: 02/18/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

554 E SAN BERNARDINO RD STE 200
COVINA CA
91723-1749
US

IV. Provider business mailing address

554 E SAN BERNARDINO RD STE 200
COVINA CA
91723-1749
US

V. Phone/Fax

Practice location:
  • Phone: 626-379-3181
  • Fax: 626-699-3327
Mailing address:
  • Phone: 626-379-3181
  • Fax: 626-699-3327

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: AMAR LAPSI
Title or Position: COO
Credential:
Phone: 626-823-1535