Individual
MUDIT MATHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11370 ANDERSON ST, STE B-100, LOMA LINDA, CA 92354-3450
(909) 558-2848
Mailing address
1333 S MAYFLOWER AVE, 2ND FLOOR, MONROVIA, CA 91016-4066
(626) 775-3514
(626) 408-3911
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C51545
CA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
C51545
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C515450
—
CA
Enumeration date
07/25/2006
Last updated
11/29/2021
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