Individual
BHAVINI JASHVANT JAISWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1 HOAG DR, CRITICAL CARE DEPARTMENT BOX 6100, NEWPORT BEACH, CA 92663-4162
(480) 227-1318
Mailing address
ONE HOAG DRIVE, CRITICAL CARE DEPARTMENT BOX 6100, NEWPORT BEACH, CA 92658-6100
(480) 227-1318
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A100525
CA
207RP1001X
Pulmonary Disease Physician
A100525
CA
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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