Organization
BANIPAL MEDICAL CORP
Active
Other names
Advanced Vascular and Vein Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMPLEDEEP BANIPAL MD (VASCULAR SURGEON)
(818) 926-5272
Entity
Organization
Contact information
Practice address
355 E 21ST ST STE C, SAN BERNARDINO, CA 92404-4851
(818) 926-5272
(573) 250-7382
Mailing address
19400 TURTLE RIDGE LN, PORTER RANCH, CA 91326-3803
(818) 926-5272
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
04/10/2020
Last updated
04/10/2020
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