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General NPI Number Information
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NPI Number | 1023978772
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Entity Type | Organization
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Legal Business Name | LITTLEWELL PEDIATRICS, APC
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Dates
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Enumeration Date | 11/14/2025
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 2780 CABOT DR STE 145
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City | CORONA
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State | CA
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Zip | 92883-7384
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Country | US
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Telephone | 909-206-4353
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Fax | 951-466-2495
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Provider Business Mailing Address
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Address Line | 2780 CABOT DR STE 145
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City | CORONA
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State | CA
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Zip | 92883-7384
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Country | US
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Telephone | 909-206-4353
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Fax | 951-466-2495
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALBERT KHAIT
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Credential | MD, MED, FAAP
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Telephone | 909-206-4353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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