LINCOLN HEIGHTS FAMILY AND INDUSTRIAL MEDICAL CLINIC


Address: 1501 E Holt Ave, Pomona, CA 91767-5823
Phone: 9096233600

LINCOLN HEIGHTS FAMILY AND INDUSTRIAL MEDICAL CLINIC (NPI# 1982787206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982787206
Entity Type Organization
Organization Name LINCOLN HEIGHTS FAMILY AND INDUSTRIAL MEDICAL CLINIC
Other Organization Name WEST COAST MEDICAL CENTER
Practice Address 1501 E Holt Ave
Pomona
CA 91767-5823
Practice Telephone 9096233600
Practice Fax Number 9096233383
Mailing Telephone 9096233600
Mailing Fax Number 9096233383
Enumeration Date 2006-10-23
Last Update Date 2020-08-22
Authorized Official Name SAMUEL KWOK-KUEN CHUNG (PRESIDENT-OWNER)
Authorized Official Telephone 9096233600
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 207V00000X Obstetrics & Gynecology A37294 CA Allopathic & Osteopathic Physicians
X 208000000X Pediatrics A50856 CA Allopathic & Osteopathic Physicians
X 208D00000X General Practice A33894 CA Allopathic & Osteopathic Physicians
X 363A00000X Physician Assistant PA 14845 CA Physician Assistants & Advanced Practice Nursing Providers
X 363A00000X Physician Assistant PA 16663 CA Physician Assistants & Advanced Practice Nursing Providers
X 363A00000X Physician Assistant PA 17061 CA Physician Assistants & Advanced Practice Nursing Providers
X 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
RN 548298 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA GR0056501 05
CA PETER LE PPIN WPA16663A 01

Other Provider/Organization Names

Other Name Type Code
WEST COAST MEDICAL CENTER Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1942309497 Lincoln Heights Family and Industrial Medical Clinic Family Medicine 2409 N Broadway, Los Angeles, CA 90031-2218 2006-09-21

Office Location

Street Address 1501 E HOLT AVE
City POMONA
State CA
Zip Code 91767-5823

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942807979 Ayed Hawatmeh Dds Inc Dentist 322 E Foothill Blvd, Pomona, CA 91767 2020-10-02
1780205302 Melanie Crystal Ramirez Counselor 845 East Arrow Hwy, Pomona, CA 91767 2020-05-05
1780249029 Jean Hang Pharmacist 775 East Foothill Blvd, Pomona, CA 91767 2019-05-02
1679043269 Christy Bloss Counselor 16029 Arrow Hwy. Suite G, Irwindale, CA 91767 2018-11-27
1740758895 Pomona Community Health Center Dentist 1448 E Holt Avenue, Pomona, CA 91767 2018-11-07
1245749878 Continental Post Acute LLC Skilled Nursing Facility 1912 N.san Antonio, Pomona, CA 91767 2017-09-26
1083134373 Virginia Thompson Counselor 845 E. Arrow Hwy., Pomona, CA 91767 2017-06-27
1215489000 Boys Republic - Pomona Residence Community/Behavioral Health 733 N Garey Ave, Pomona, CA 91767 2016-10-27
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942817804 La Vista Health Obstetrics & Gynecology 180 W Willow St Unit 3, Pomona, CA 91768-1800 2020-09-24
1043659519 Jyotika Agochiya Obstetrics & Gynecology 974 Route 45 Suite 1000, Ramapo Valley Obgyn, Pomona, NY 10970 2013-06-18
1881947117 David Dongwook Choi Obstetrics & Gynecology 1818 N. Orange Grove, #203, Pomona, CA 91767-3028 2012-10-24
1144513862 Maria Siu Obstetrics & Gynecology 160 E Artesia St Ste 330, Pomona, CA 91767-2922 2011-05-27
1770710022 Jesse X. Woo Obstetrics & Gynecology 1818 N Orange Grove Ave Ste 303, Pomona, CA 91767-3028 2009-06-14
1366547192 Stephanie Cropper Obstetrics & Gynecology 160 East Atesia, Pomona, CA 91767-2922 2006-09-14
1275638009 Simmi P. Dhaliwal Obstetrics & Gynecology 160 East Artesia, Pomona, CA 91767-2922 2006-09-14
1457456287 Frank Chiang Obstetrics & Gynecology 160 East Artesia Street, Suite 330, Pomona, CA 91767-2922 2006-09-14
1821004011 Edward L Sung Obstetrics & Gynecology 72 Jim Leeds Rd, Stockton Medical Building, Pomona, NJ 08240-0836 2006-07-31
1639104607 Veena Vaid-raizada Obstetrics & Gynecology 1902 Royalty Drive, Suite 280, Pomona, CA 91767 2006-07-11
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City POMONA
Zip Code 91767

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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