Healthcare Provider Details

I. General information

NPI: 1164583282
Provider Name (Legal Business Name): REKHA SACHDEVA M.D.,
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3236 SANTA ANITA AVE
EL MONTE CA
91733-1360
US

IV. Provider business mailing address

3236 SANTA ANITA AVE
EL MONTE CA
91733-1360
US

V. Phone/Fax

Practice location:
  • Phone: 626-459-5420
  • Fax: 626-444-4511
Mailing address:
  • Phone: 626-459-5420
  • Fax: 626-444-4511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC429510
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: