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Organization

KRUNAL J MEHTA MD INC

Active
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Organization

KRUNAL J MEHTA MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRUNAL J MEHTA MD (PRESIDENT)
(626) 335-4129
Entity
Organization

Contact information

Practice address
130 W ROUTE 66, SUITE 214, GLENDORA, CA 91740-6249
(626) 335-4129
(626) 335-6177
Mailing address
130 W ROUTE 66, SUITE 214, GLENDORA, CA 91740-6249
(626) 335-4129
(626) 335-6177

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A110016
CA

Other

Enumeration date
05/06/2010
Last updated
07/31/2015
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