| Doctor Name: | DR. KAMINI PRUTHI |
| NPI Number: | 1730350638 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | A38889 |
| Business Practice Address: | 415 W Route 66 Suite # 201 Glendora, CA - 917404335 |
| Business Phone Number: | 6269630900 |
| Business Fax Number: | |
| Mailing Address: | 255 S Glendora Ave, P.o. Box 2088 GLENDORA |
| State: | CA |
| Postal Code: | 917409000 |
| Phone Number: | 6269669134 |
| Fax Number: | |
| NPI Enumeration Date: | 03/18/2008 |
| NPI Last Update Date: | 03/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A38889 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |