Individual
DR. KAMINI PRUTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
415 W ROUTE 66, SUITE # 201, GLENDORA, CA 91740-4335
(626) 963-0900
Mailing address
255 S GLENDORA AVE, P.O. BOX 2088, GLENDORA, CA 91740-9000
(626) 966-9134
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A38889
CA
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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