Individual
RAVNEET BAJWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 N STATE ST, CT-A7D, LOS ANGELES, CA 90033-1029
(323) 226-7556
(323) 226-2657
Mailing address
1200 N STATE ST, CT-A7D, LOS ANGELES, CA 90033-1029
(323) 226-7556
(323) 226-2657
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A122408
CA
208M00000X
Hospitalist Physician
Primary
A122408
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113273
SID # 113273
CA
Enumeration date
02/29/2012
Last updated
04/10/2017
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