# KAVITA SURTI MD INC

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

## Provider details

- **NPI number:** 1437480571
- **Authorized official:** DR. KAVITA SURTI MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (909) 636-3630

## Contact information

- **Practice address:** 475 W BADILLO ST, COVINA, CA 91723-1834
- **Practice address phone:** (626) 732-2200
- **Practice address fax:** (626) 732-2900
- **Mailing address:** 475 W BADILLO ST, COVINA, CA 91723-1834
- **Mailing address phone:** (626) 732-2200
- **Mailing address fax:** (626) 732-2900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | CA | Yes |

## Other

- **Enumeration date:** 01/28/2010
- **Last updated:** 10/13/2010