| Anita Kundi D.o I.n.c | |
|
12598 #219 Central Ave Suite B Chino CA 91710-3573 | |
| (909) 591-1444 | |
| (909) 591-7785 |
| Full Name | Anita Kundi D.o I.n.c |
|---|---|
| Speciality | Clinic/Center |
| Location | 12598 #219 Central Ave, Chino, California |
| Authorized Official Name and Position | Anita Kundi (PRESIDENT) |
| Authorized Official Contact | 9095911444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anita Kundi D.o I.n.c 12598 #219 Central Ave Suite B Chino CA 91710 Ph: (909) 591-1444 | Anita Kundi D.o I.n.c 12598 #219 Central Ave Suite B Chino CA 91710-3573 Ph: (909) 591-1444 |
| NPI Number | 1881920247 |
|---|---|
| Provider Enumeration Date | 10/20/2009 |
| Last Update Date | 01/13/2012 |
| Medicare PECOS PAC ID | 9739367772 |
|---|---|
| Medicare Enrollment ID | O20110622000572 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881920247 | NPI | - | NPPES |
| 020A67250 | Other | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 20A67250 (California) | Primary |
| Provider Name | Anita Kundi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518933266 PECOS PAC ID: 3173585122 Enrollment ID: I20110718000274 |
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