MEDICARE: DR. RISHI MAJITHIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	A157938	CA

General Provider Information

NPI Number	:	1285084137
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RISHI MAJITHIA

Provider Business Mailing Address
First Line	:	99 N SAN ANTONIO AVE STE 210
Second Line	:
City	:	UPLAND
State	:	CA
Zip	:	91786-4578
Country	:	US
Telephone Number	:	909-581-8509
Fax Number	:

Provider Business Practice Location Address
First Line	:	99 N SAN ANTONIO AVE STE 210
Second Line	:
City	:	UPLAND
State	:	CA
Zip	:	91786-4578
Country	:	US
Telephone Number	:	909-581-8509
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2016
Last Update Date	:	08/29/2022

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