Individual
SUNIL GOPAL BHANDARKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
321 N LARCHMONT BLVD, SUITE #700, LOS ANGELES, CA 90004-6407
(323) 467-7161
(323) 467-3922
Mailing address
2200 COLORADO AVE, APT #516, SANTA MONICA, CA 90404-3571
(310) 828-0721
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A91354
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A91354
STATE LICENSE
CA
Enumeration date
08/09/2006
Last updated
03/07/2023
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