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Organization

NAMITA MOHIDEEN MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NAMITA PANDIRI MOHIDEEN M.D. (DOCTOR)
(909) 823-8000
Entity
Organization

Contact information

Practice address
16465 SIERRA LAKES PKWY STE 115, FONTANA, CA 92336-1242
(909) 823-8000
(909) 823-8088
Mailing address
16465 SIERRA LAKES PKWY STE 115, FONTANA, CA 92336-1242
(909) 823-8000
(909) 823-8088

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A55769
CA

Other

Enumeration date
03/29/2012
Last updated
08/26/2024
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