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NPI 1679515217

NPI 1679515217 : WESTERN UNIVERSITY OF HEALTH SCIENCES : POMONA, CA

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General NPI Number Information
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    NPI Number           |    1679515217
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    Entity Type          |    Organization 
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    Legal Business Name  |    WESTERN UNIVERSITY OF HEALTH SCIENCES 
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Dates
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    Enumeration Date     |    06/11/2006
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    Last Update Date     |    06/04/2024
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Provider Practice Location Address
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    Address Line         |    795 E SECOND STREET SUITE 5
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    City                 |    POMONA
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    State                |    CA
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    Zip                  |    91766-2007
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    Country              |    US
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    Telephone            |    909-865-2565
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    Fax                  |    909-865-2955
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Provider Business Mailing Address
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    Address Line         |    795 E SECOND STREET SUITE 5
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    City                 |    POMONA
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    State                |    CA
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    Zip                  |    91766-2007
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    Country              |    US
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    Telephone            |    909-865-2565
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    Fax                  |    909-865-2955
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Authorized Official
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    Title or Position    |    SENIOR DIRECTOR OF OPERATIONS
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    Name                 |     AMY  PADOONGPATT 
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    Credential           |    
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    Telephone            |    909-865-2565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    133V00000X
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    Taxonomy Name        |    Registered Dietitian
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    204D00000X
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    Taxonomy Name        |    Neuromusculoskeletal Medicine & OMM Physician
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    License Number       |    
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    CA
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Taxonomy #4
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    Taxonomy Code        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    
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    License Number State |    CA
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Taxonomy #5
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    Taxonomy Code        |    207RE0101X
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    Taxonomy Name        |    Endocrinology, Diabetes & Metabolism Physician
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    License Number       |    
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    License Number State |    CA
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Taxonomy #6
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    Taxonomy Code        |    207RI0200X
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    Taxonomy Name        |    Infectious Disease Physician
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    License Number       |    
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    License Number State |    CA
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Taxonomy #7
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    Taxonomy Code        |    207RN0300X
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    Taxonomy Name        |    Nephrology Physician
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    License Number       |    
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    License Number State |    CA
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Taxonomy #8
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    Taxonomy Code        |    207RR0500X
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    Taxonomy Name        |    Rheumatology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #10
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    Taxonomy Code        |    213E00000X
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    Taxonomy Name        |    Podiatrist
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    License Number       |    
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    License Number State |    CA
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Taxonomy #11
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    CA
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