# JEEVA HEALTHCARE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255193058
- **Authorized official:** DR. ASHWINI V MALLAD MD (SHAREHOLDER)
- **Authorized official phone:** (507) 271-9864

## Contact information

- **Practice address:** 18660 US HIGHWAY 18, APPLE VALLEY, CA 92307-2316
- **Practice address phone:** (760) 515-1911
- **Practice address fax:** (442) 292-1025
- **Mailing address:** 2834 HAMNER AVE \# 456, NORCO, CA 92860-1929

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/26/2024
- **Last updated:** 06/14/2024