Organization
ASHWANI BHARDWAJ, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIBEL MARTINEZ (BILLER)
(818) 778-6332
Entity
Organization
Contact information
Practice address
15211 VANOWEN ST STE 205, VAN NUYS, CA 91405-3619
(818) 778-6332
(818) 778-6322
Mailing address
15211 VANOWEN ST STE 205, VAN NUYS, CA 91405-3619
(818) 778-6332
(818) 778-6322
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A54408
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A54408
LIC
CA
01
—
G25234
UPIN
CA
Enumeration date
01/23/2014
Last updated
01/23/2014
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