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Organization
THE WEST COVINA KIDS DOC ,APMC
Active
Organization
THE WEST COVINA KIDS DOC ,APMC
Active
Parent organization
THE KIDS DOC APMC
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE KIDS DOC APMC
Authorized official
DR. PANKAJ N MISTRY MD (PRESIDENT,CEO)
(626) 919-5437
Entity
Organization
Contact information
Practice address
933 S SUNSET AVE, SUITE # 101, WEST COVINA, CA 91790-3410
(626) 919-5437
(626) 919-5439
Mailing address
PO BOX 4219, WEST COVINA, CA 91791-0219
(626) 919-5437
(626) 919-5439
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366518342
NPI NUMBER
CA
Enumeration date
03/14/2007
Last updated
02/24/2012
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