05D2110201 CLIA NUMBER - MOHAMED Z KATTIH MD

Laboratory Demographics

CLIA Number: 05D2110201

Facility Name: MOHAMED Z KATTIH MD

Facility Address:
219 W BADILLO ST, STE B
COVINA, CA
ZIP 91723
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Facility Phone Number: 626 914-4300

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1104833383

Taxonomy: 225400000X - Rehabilitation Practitioner
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

CLIA Record

Field Name	Field Value
CLIA Number	05D2110201
LAB Type	Physician Office
Facility Name	MOHAMED Z KATTIH MD
Street	219 W BADILLO ST, STE B
City	COVINA
State	CA
ZIP	91723
Phone	626 914-4300
CertificateType	4
CertificateEffectiveDate	3/10/2024
CertificateExpirationDate	3/9/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024