Kotrappa, Kavitha S

Kotrappa, Kavitha S is an individual health care provider with primary practice located at 150 W. Foothill Blvd , San Dimas CA 91773-1102. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kotrappa, Kavitha S can be contacted via phone (909) 599-9921.

Contact Information

Primary practice address
150 W. Foothill Blvd San Dimas CA 91773-1102
Phone: (909) 599-9921
Fax: (909) 592-3147
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A53418 California

Profile Details

NPI number 1376505263
LBN Legal business name Kotrappa, Kavitha S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Dec 2nd, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376505263 NPPES
California Other A53418A PPIN

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