Organization
AVINASH M. MONDKAR M.D.,A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVINASH M. MONDKAR M.D. (PRESIDENT)
(310) 657-1995
Entity
Organization
Contact information
Practice address
1041 N CHINA LAKE BLVD, SUITE A, RIDGECREST, CA 93555-3168
(310) 657-1995
(310) 657-5311
Mailing address
8641 WILSHIRE BLVD, #220, BEVERLY HILLS, CA 90211-2900
(310) 657-1995
(310) 657-5311
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A35142
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A351420
—
CA
01
—
756063687
PALMETTO GBA MEDICARE/SOUTHERN CA
—
01
—
P00736288
PALMETTO GBA MEDICARE/NORTHERN CA
—
Enumeration date
01/16/2007
Last updated
09/10/2009
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