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Organization
INFECTIOUS DISEASE CLINIC INC
Active
Organization
INFECTIOUS DISEASE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVESH PATEL M.D. (PRESIDENT)
(626) 859-4167
Entity
Organization
Contact information
Practice address
216 S CITRUS ST, SUITE 395, WEST COVINA, CA 91791-2144
(626) 348-4239
(626) 498-0708
Mailing address
216 S CITRUS ST, SUITE 395, WEST COVINA, CA 91791-2144
(626) 348-4239
(626) 498-0708
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A89330
CA
Other
Enumeration date
10/13/2014
Last updated
05/23/2019
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