# SUSHMA BAHL M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841522299
- **Authorized official:** SUSHMA BAHL M.D. (OWNER)
- **Authorized official phone:** (909) 396-0309

## Contact information

- **Practice address:** 1200 S DIAMOND BAR BLVD, SUITE 108, DIAMOND BAR, CA 91765-2298
- **Practice address phone:** (909) 396-0309
- **Practice address fax:** (909) 396-0619
- **Mailing address:** 1249 S DIAMOND BAR BLVD, SUITE 112, DIAMOND BAR, CA 91765-4122
- **Mailing address phone:** (909) 396-0309
- **Mailing address fax:** (909) 396-0619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A45671 | CA | Yes |

## Other

- **Enumeration date:** 02/10/2010
- **Last updated:** 02/10/2010