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1336134014
MOOTHEDATH MENON
TUSTIN, CA
NPI
1336134014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: CA A41105)
Enumeration Date
2005-09-19
Last Update Date
2024-04-12
Business Address
MOOTHEDATH MENON M.D.
661 W 1ST ST STE G
TUSTIN, CA 92780-2939
Phone number: 714-665-9890
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Mailing Address
MOOTHEDATH MENON M.D.
661 W 1ST ST STE G
TUSTIN, CA 92780-2939
Phone number: 714-665-9890
Copy
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