Individual
DR. ASHVIN V BHUTWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17199 YUMA ST, STE 1, VICTORVILLE, CA 92395-5886
(760) 244-1155
(760) 244-1115
Mailing address
17199 YUMA ST, STE 1, VICTORVILLE, CA 92395-5886
(760) 244-1155
(760) 244-1115
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A051481
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A514810
—
CA
Enumeration date
08/22/2006
Last updated
11/16/2016
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