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COVINA VALLEY UROLOGIC MEDICAL GROUP, INC.
NPI 1407812332
Urology - Pediatric Urology in West Covina, CA

Active since April 20, 2006CLIA 05D0565138 · Microscopy
421 E MERCED AVE, WEST COVINA, CA 91790(626) 918-1881(626) 918-3618 Get Directions Write a Review

NPPES record last updated: August 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Covina Valley Urologic Medical Group, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COVINA VALLEY UROLOGIC MEDICAL GROUP, INC. (NPI 1407812332) is a healthcare organization registered as a pediatric urology in West Covina, California and active in the NPI registry since April 2006. The organization holds a CLIA Microscopy certificate valid through June 20, 2027 and lists Sung M Choe, President, as its authorized official.

NPPES Registry Identity

NPI1407812332
Entity TypeOrganization
Primary Taxonomy2088P0231X
Legal Business NameCOVINA VALLEY UROLOGIC MEDICAL GROUP, INC.
Location Address421 E MERCED AVEWest Covina, CA 91790-5023
Mailing Address421 E Merced AveWest Covina, CA 91790-5023 · (626) 918-1881 · Fax (626) 918-3618
Phone(626) 918-1881
Fax(626) 918-3618
Organization SubpartNo
Authorized OfficialSung M ChoePresident · (626) 918-1881
Enumeration DateApril 20, 2006
Last NPPES UpdateAugust 17, 2020
NPPES CertifiedAugust 17, 2020
✔ NPI 1407812332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
421 E MERCED AVE, West Covina, CA 91790
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Other Identifiers 2

Medicaid00G604841CA
Medicaid00G604840CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0565138

Covina Valley Urologic Medical Group Inc · West Covina, CA
Active · expires Jun 20, 2027
CLIA Number05D0565138
Laboratory TypePhysician Office
Certificate Effective DateJune 21, 2025
Certificate Expiration DateJune 20, 2027
Laboratory DirectorSung M. Choe MD
Laboratory Phone(626) 918-1881
Laboratory LocationCovina Valley Urologic Medical Group Inc421 East Merced Avenue, West Covina, CA 91790
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUNG M CHOE M.D.
Urology (Pediatric Urology)
421 E MERCED AVE
WEST COVINA, CA 91790
Los Angeles County (626) 918-1881
DR. JOHN YOUNG LEE M.D.
Urology
421 E MERCED AVE
WEST COVINA, CA 91790
Los Angeles County (626) 918-1881
GARY BLAINE WALKER PA-C
Physician Assistant
421 E MERCED AVE
WEST COVINA, CA 91790
Los Angeles County (626) 918-1881

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Covina Valley Urologic Medical Group, Inc.'s NPI number?

The NPI number for Covina Valley Urologic Medical Group, Inc. is 1407812332. It was assigned to this organization in the NPPES registry on April 20, 2006.

Where is Covina Valley Urologic Medical Group, Inc. located?

Covina Valley Urologic Medical Group, Inc. is located at 421 E Merced Ave, West Covina, CA 91790. The listed phone number is (626) 918-1881.

What is Covina Valley Urologic Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Does Covina Valley Urologic Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0565138) is associated with this NPI, valid through June 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Covina Valley Urologic Medical Group, Inc. was last updated on August 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.