Individual
DR. MOHAN W BHASKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1141 W REDONDO BEACH BLVD, GARDENA, CA 90247-3586
(310) 914-9150
(310) 914-9705
Mailing address
PO BOX 3969, PALOS VERDES PENINSULA, CA 90274-9547
(310) 914-9150
(310) 914-9705
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A34139
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A341390
—
CA
Enumeration date
10/26/2006
Last updated
07/08/2007
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