Organization
MUKHTAIR SINGH KUNDI, M.D., INC., A MEDICAL CORPORATION
Active
Other names
MUKHTAIR SINGH KUNDI, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
MUKHTAIR SINGH KUNDI M.D. (OWNER)
(626) 960-1402
Entity
Organization
Contact information
Practice address
1740 W CAMERON AVE, SUITE 110, WEST COVINA, CA 91790-2719
(626) 960-1402
(626) 337-7651
Mailing address
1740 W CAMERON AVE, SUITE 110, WEST COVINA, CA 91790-2719
(626) 960-1402
(626) 337-7651
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
A41283
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A41283
—
CA
01
—
2762110
OTHER
CA
Enumeration date
04/29/2011
Last updated
04/29/2011
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