Organization · NPI-2
Senior Careconnect A Professional Corporation
Internal Medicine · Walnut, CA
NPI number1407742265
StatusActive
Last updated in NPPESJun 17, 2025
Details
- NPI
- 1407742265
- Entity type
- Organization (NPI-2)
- Legal business name
- Senior Careconnect A Professional Corporation
- Organization subpart
- No
- Enumeration date
- Jun 17, 2025
- Certification date
- Jun 17, 2025
- Last updated
- Jun 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Practice location
1896 Shaded Wood RdWalnut, CA 91789-4011
Phone 740-821-4576
Mailing address
Po Box 469Walnut, CA 91788-0469
Phone 740-821-4576
Authorized official
Justinder Malhotra
Owner/Provider
7408214576
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