# INFECTIOUS DISEASE CLINIC INC

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

## Provider details

- **NPI number:** 1437553971
- **Authorized official:** DEVESH PATEL M.D. (PRESIDENT)
- **Authorized official phone:** (626) 859-4167

## Contact information

- **Practice address:** 216 S CITRUS ST, SUITE 395, WEST COVINA, CA 91791-2144
- **Practice address phone:** (626) 348-4239
- **Practice address fax:** (626) 498-0708
- **Mailing address:** 216 S CITRUS ST, SUITE 395, WEST COVINA, CA 91791-2144
- **Mailing address phone:** (626) 348-4239
- **Mailing address fax:** (626) 498-0708

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | A89330 | CA | Yes |

## Other

- **Enumeration date:** 10/13/2014
- **Last updated:** 05/23/2019