Underwood, David J

Underwood, David J is an individual health care provider with primary practice located at 414 E San Bernardino Rd , Covina CA 91723-1704. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Underwood, David J can be contacted via phone (626) 915-5181.

Contact Information

Primary practice address
414 E San Bernardino Rd Covina CA 91723-1704
Phone: (626) 915-5181
Fax: (626) 915-2313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G75458 California

Profile Details

NPI number 1023080686
LBN Legal business name Underwood, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Oct 21st, 2008 - about 16 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 1023080686 NPPES
California MEDICAID 00G754580

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