Individual
BIRBAL SINGH BHASKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1010 W LA VETA AVE, SUITE 250, ORANGE, CA 92868-4304
(714) 541-6622
(714) 541-0531
Mailing address
1010 W LA VETA AVE, SUITE 250, ORANGE, CA 92868-4304
(714) 541-6622
(714) 541-0531
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A29781
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BF419Z
PTAN
—
05
—
GR0057460
—
CA
Enumeration date
05/04/2006
Last updated
09/02/2010
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