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Individual

MS. REHANA MINOLI HETHUMUNI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
101 E. BEVERLY BLVD, SUITE 404, MONTEBELLO, CA 90640
(626) 676-6038
(323) 722-0158
Mailing address
101 E. BEVERLY BLVD, SUITE 404, MONTEBELLO, CA 90640
(626) 676-6038
(323) 722-0158

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
20A8993
CA

Other

Enumeration date
10/10/2006
Last updated
10/28/2020
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