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General NPI Number Information
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NPI Number | 1558446724
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Entity Type | Organization
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Legal Business Name | WEST COVINA PLAN IPA, INC., A MEDICAL GROUP
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 605 E BADILLO ST STE 300
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City | COVINA
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State | CA
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Zip | 91723-2847
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Country | US
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Telephone | 626-974-0440
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Fax | 626-974-0450
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Provider Business Mailing Address
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Address Line | 605 E BADILLO ST STE 300
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City | COVINA
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State | CA
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Zip | 91723-2847
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Country | US
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Telephone | 626-974-0440
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Fax | 626-974-0450
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ARVIND LAPSIWALA
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Credential | M.D.
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Telephone | 626-974-0440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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