| Infectious Disease Clinic Inc | |
|
216 S Citrus St Suite 395 West Covina CA 91791-2144 | |
| (626) 348-4239 | |
| (626) 498-0708 |
| Full Name | Infectious Disease Clinic Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 216 S Citrus St, West Covina, California |
| Authorized Official Name and Position | Devesh Patel (PRESIDENT) |
| Authorized Official Contact | 6268594167 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Clinic Inc 216 S Citrus St Suite 395 West Covina CA 91791-2144 Ph: (626) 348-4239 | Infectious Disease Clinic Inc 216 S Citrus St Suite 395 West Covina CA 91791-2144 Ph: (626) 348-4239 |
| NPI Number | 1437553971 |
|---|---|
| Provider Enumeration Date | 10/13/2014 |
| Last Update Date | 05/23/2019 |
| Medicare PECOS PAC ID | 2365710829 |
|---|---|
| Medicare Enrollment ID | O20181207001867 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437553971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | A89330 (California) | Primary |
| Provider Name | Devesh N Patel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407840697 PECOS PAC ID: 1153346358 Enrollment ID: I20051006000758 |
| Provider Name | Sagie De Guzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346659075 PECOS PAC ID: 5698070548 Enrollment ID: I20170425001800 |
| Provider Name | Alfonso V Pastores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700335494 PECOS PAC ID: 8022395417 Enrollment ID: I20171108003875 |
| Provider Name | Ludivina A De Dios-del Mundo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699437939 PECOS PAC ID: 1658716105 Enrollment ID: I20240223003722 |
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Wildon Lin Md, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1135 S Sunset Ave, Suite 307, West Covina, CA 91790 Phone: 626-962-1111 Fax: 626-962-1219 |