Organization
BHAVA NARAYANAN, M.D. A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHAVADHARINI NARAYANAN M.D. (PRESIDENT)
(323) 888-8646
Entity
Organization
Contact information
Practice address
101 E BEVERLY BLVD, SUITE 306, MONTEBELLO, CA 90640-4300
(323) 888-8646
(323) 888-1553
Mailing address
641 S SANTA ANITA AVE, SAN MARINO, CA 91108-1419
(323) 888-8646
(323) 888-1553
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A68048
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A680480
—
CA
Enumeration date
10/07/2006
Last updated
09/24/2012
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