Provider Demographics
NPI:1457608580
Name:JUST 4 KIDS PEDIATRICS, INC
Entity Type:Organization
Organization Name:JUST 4 KIDS PEDIATRICS, INC
Other - Org Name:AARTI KULSHRESTHA MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AARTI
Authorized Official - Middle Name:
Authorized Official - Last Name:KULSHRESTHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-502-1214
Mailing Address - Street 1:1433 W MERCED AVE
Mailing Address - Street 2:STE 103
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790
Mailing Address - Country:US
Mailing Address - Phone:626-502-1214
Mailing Address - Fax:626-502-1346
Practice Address - Street 1:1433 W MERCED AVE
Practice Address - Street 2:STE 103
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790
Practice Address - Country:US
Practice Address - Phone:626-502-1214
Practice Address - Fax:626-502-1346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-08
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA71264208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1447277413Medicaid
CA1447277413Medicaid