Healthcare Provider Details

I. General information

NPI: 1821567488
Provider Name (Legal Business Name): ZENMEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2018
Last Update Date: 11/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

741 S ORANGE AVE
WEST COVINA CA
91790-2662
US

IV. Provider business mailing address

741 S ORANGE AVE
WEST COVINA CA
91790-2662
US

V. Phone/Fax

Practice location:
  • Phone: 626-960-7117
  • Fax: 626-813-1038
Mailing address:
  • Phone: 626-960-7117
  • Fax: 626-813-1038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JUSTINDER SINGH MALHOTRA
Title or Position: CEO
Credential: MD
Phone: 626-960-7117