Healthcare Provider Details

I. General information

NPI: 1215803408
Provider Name (Legal Business Name): COMMITTEDHEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2025
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 E 9TH ST STE 102K
UPLAND CA
91786-6033
US

IV. Provider business mailing address

123 E 9TH ST STE 102K
UPLAND CA
91786-6033
US

V. Phone/Fax

Practice location:
  • Phone: 909-360-2889
  • Fax: 469-320-1917
Mailing address:
  • Phone: 909-360-2889
  • Fax: 469-320-1917

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DIANA MUTHONI KARIHE
Title or Position: OWNER
Credential:
Phone: 800-574-8784