Individual
ASHWANI BHARDWAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15211 VANOWEN ST 207, VAN NUYS, CA 91405-3621
(818) 778-6332
(818) 778-6322
Mailing address
PO BOX 1434, AGOURA HILLS, CA 91376-1434
(562) 739-5532
(818) 778-6322
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A54408
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A544080
—
CA
01
—
1457427197
NPI
CA
Enumeration date
11/27/2006
Last updated
10/30/2015
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