| Kavitha Kotrappa M D Inc | |
|
150 W Foothill Blvd San Dimas CA 91773-1102 | |
| (909) 599-9921 | |
| Not Available |
| Full Name | Kavitha Kotrappa M D Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 150 W Foothill Blvd, San Dimas, California |
| Authorized Official Name and Position | Kavitha S Kotrappa (CEO) |
| Authorized Official Contact | 9093921454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kavitha Kotrappa M D Inc 2396 Northview Cir La Verne CA 91750-1752 Ph: (909) 392-1454 | Kavitha Kotrappa M D Inc 150 W Foothill Blvd San Dimas CA 91773-1102 Ph: (909) 599-9921 |
| NPI Number | 1104054287 |
|---|---|
| Provider Enumeration Date | 06/26/2009 |
| Last Update Date | 06/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104054287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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