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Organization

MOHAN CKD CLINIC

Active
Parent organization
KRISHNA J MOHAN M.D., INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
KRISHNA J MOHAN M.D., INC
Authorized official
DR. KRISHNA J MOHAN M.D. (OWNER)
(626) 331-0175
Entity
Organization

Contact information

Practice address
171 W COTTAGE ST, COVINA, CA 91723
(626) 331-0175
(626) 967-3849
Mailing address
171 W COTTAGE ST, COVINA, CA 91723
(626) 331-0175
(626) 967-3849

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Enumeration date
05/05/2015
Last updated
05/05/2015
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