Individual
SHYAM BHANSALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1520 SAN PABLO ST STE 1000, LOS ANGELES, CA 90033
(323) 442-5100
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5100
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
20A17528
CA
Other
Enumeration date
05/22/2015
Last updated
11/27/2023
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