Organization
NEODOC APMC
Active
Other names
NeoDoc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PANKAJ N MISTRY M.D. (PRESIDENT, CEO)
(626) 482-5478
Entity
Organization
Contact information
Practice address
1798 NORTH GAREY AVE, POMONA VALLEY HOSPITAL MEDICAL CENTER, POMONA, CA 91767
(909) 639-7436
(626) 371-0480
Mailing address
PO BOX 4838, WEST COVINA, CA 91791-0838
(626) 482-5478
(626) 371-0480
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0090280
MEDI-CAL
CA
Enumeration date
10/03/2007
Last updated
10/03/2007
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