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Individual

DR. JASVINDER SINGH BAWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1250 16TH ST, SANTA MONICA, CA 90404-1249
(310) 794-7700
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
054198
GA
207P00000X
Emergency Medicine Physician
Primary
A102414
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
741768148A
GA
05
741768148B
GA
05
741768148C
GA
05
741768148D
GA
Enumeration date
08/17/2006
Last updated
07/24/2023
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