Individual
MUTHUSAMY MUTHIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1866 N ORANGE GROVE AVE, SUITE 202, POMONA, CA 91767-3031
(909) 623-8796
(909) 623-3076
Mailing address
840 TOWNE CENTER DR, CHAPARRAL MEDICAL GROUP, POMONA, CA 91767-5900
(909) 398-1550
(909) 398-1488
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A51517
CA
207RC0000X
Cardiovascular Disease Physician
Primary
A51517
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A515170
—
CA
Enumeration date
03/10/2006
Last updated
05/03/2021
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