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Organization
MANDEEP BAGGA, MD, A MEDICAL CORPORATION
Active
Organization
MANDEEP BAGGA, MD, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANDEEP SINGH BAGGA MD (PRESIDENT)
(989) 714-2110
Entity
Organization
Contact information
Practice address
205 OCEAN AVE, LAGUNA BEACH, CA 92651-2106
(989) 714-2110
Mailing address
3643 S MOONEY BLVD # 1065, VISALIA, CA 93277-8067
(989) 714-2110
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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