| Datar S. Sodhi, M.d.,inc. | |
|
741 S Orange Ave West Covina CA 91790-2662 | |
| (626) 814-1177 | |
| Not Available |
| Full Name | Datar S. Sodhi, M.d.,inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 741 S Orange Ave, West Covina, California |
| Authorized Official Name and Position | Datar Singh Sodhi (PRESIDENT) |
| Authorized Official Contact | 6268141177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Datar S. Sodhi, M.d.,inc. 741 S Orange Ave West Covina CA 91790-2662 Ph: (626) 814-1177 | Datar S. Sodhi, M.d.,inc. 741 S Orange Ave West Covina CA 91790-2662 Ph: (626) 814-1177 |
| NPI Number | 1275771917 |
|---|---|
| Provider Enumeration Date | 02/03/2009 |
| Last Update Date | 12/22/2010 |
| Medicare PECOS PAC ID | 0244370773 |
|---|---|
| Medicare Enrollment ID | O20091215000122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275771917 | NPI | - | NPPES |
| 00A340320 | Medicaid | CA |
| Provider Name | Datar S Sodhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811928542 PECOS PAC ID: 0446390066 Enrollment ID: I20091211000629 |
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