Organization
DIVINE INFUSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIRISH HIMMATLAL BHUNDIYA RN (FOUNDER & CEO)
(505) 795-1522
Entity
Organization
Contact information
Practice address
801 E MOBECK ST APT 801B, WEST COVINA, CA 91790-4700
(505) 795-1522
(626) 412-4414
Mailing address
801 E MOBECK ST APT 801B, WEST COVINA, CA 91790-4700
(505) 795-1522
(626) 412-4414
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
—
—
251F00000X
Home Infusion Agency
—
—
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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