Individual
MR. DEEP BHAVSAR III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
1075 YORBA PL, PLACENTIA, CA 92870-3152
(714) 524-3500
Mailing address
1075 YORBA PL, PLACENTIA, CA 92870-3152
(714) 524-3500
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
060802396
CA
Other
Enumeration date
01/19/2015
Last updated
01/19/2015
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