Healthcare Provider Details

I. General information

NPI: 1922539733
Provider Name (Legal Business Name): PANDIT MCFARLAND LVN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: PANDIT MITCHELL

II. Dates (important events)

Enumeration Date: 03/23/2017
Last Update Date: 09/14/2025
Certification Date: 09/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4750 PALM AVE
RIVERSIDE CA
92501-4012
US

IV. Provider business mailing address

PO BOX 7416
MORENO VALLEY CA
92552-7416
US

V. Phone/Fax

Practice location:
  • Phone: 951-682-6631
  • Fax:
Mailing address:
  • Phone: 562-230-5123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License NumberVN 257560
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: