Healthcare Provider Details

I. General information

NPI: 1023978772
Provider Name (Legal Business Name): LITTLEWELL PEDIATRICS, APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2025
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2780 CABOT DR STE 145
CORONA CA
92883-7384
US

IV. Provider business mailing address

2780 CABOT DR STE 145
CORONA CA
92883-7384
US

V. Phone/Fax

Practice location:
  • Phone: 909-206-4353
  • Fax: 951-466-2495
Mailing address:
  • Phone: 909-206-4353
  • Fax: 951-466-2495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALBERT KHAIT
Title or Position: PRESIDENT
Credential: MD, MED, FAAP
Phone: 909-206-4353