Organization
SUSHMA BAHL MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNA THORBJORNSEN (OFFICE MANAGER)
(909) 396-0309
Entity
Organization
Contact information
Practice address
16300 SAND CANYON AVE, SUITE 708, IRVINE, CA 92618-3711
(714) 262-9143
(866) 874-1139
Mailing address
23437 GOLDEN SPRINGS DR, SUITE 114, DIAMOND BAR, CA 91765-2030
(909) 396-0309
(866) 874-1139
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A45671
CA
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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