Provider Demographics
NPI:1861524423
Name:PRAMOD MULTANI MD INC
Entity type:Organization
Organization Name:PRAMOD MULTANI MD INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PRAMOD
Authorized Official - Middle Name:
Authorized Official - Last Name:MULTANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-923-1211
Mailing Address - Street 1:8333 IOWA ST STE 200
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-4994
Mailing Address - Country:US
Mailing Address - Phone:562-923-1211
Mailing Address - Fax:
Practice Address - Street 1:8333 IOWA ST STE 200
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-4994
Practice Address - Country:US
Practice Address - Phone:562-923-1211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGRP0091780Medicaid
CAGRP0091780Medicaid