Provider Demographics
NPI:1811006943
Name:ASWANI, MOHINI (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHINI
Middle Name:
Last Name:ASWANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 BEECHWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LYNWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90262
Mailing Address - Country:US
Mailing Address - Phone:310-604-0105
Mailing Address - Fax:310-604-1211
Practice Address - Street 1:3301 BEECHWOOD AVE
Practice Address - Street 2:
Practice Address - City:LYNWOOD
Practice Address - State:CA
Practice Address - Zip Code:90262
Practice Address - Country:US
Practice Address - Phone:310-604-0105
Practice Address - Fax:310-604-1211
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC 39062208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics