Organization
FOOTHILLS PAIN MANAGEMENT CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HETAL MEHTA (ADMINISTRATOR)
(626) 608-7320
Entity
Organization
Contact information
Practice address
236 W COLLEGE ST, COVINA, CA 91723-1902
(626) 608-7320
(626) 608-7322
Mailing address
PO BOX 209, COVINA, CA 91723-0209
(626) 608-7320
(626) 608-7322
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
C52522
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
07/27/2009
Last updated
09/26/2023
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