Organization
BAJWA ENTERPRISES
Active
Other names
Purify Health
Organization subpart
No
Provider details
NPI number
Authorized official
MANDEEP BAJWA MD (PRESIDENT)
(805) 278-1450
Entity
Organization
Contact information
Practice address
30200 AGOURA RD STE 150, AGOURA HILLS, CA 91301-5427
(805) 278-1450
Mailing address
30200 AGOURA RD STE 150, AGOURA HILLS, CA 91301-5427
(805) 278-1450
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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