Organization
BK SURGICAL INC
Active
Other names
BK SURGICAL INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHANI KAUR CHAWLA KONDAL MD (CEO)
(913) 209-4619
Entity
Organization
Contact information
Practice address
41870 GARSTIN DRIVE, BIG BEAR LAKE, CA 92315-1649
(913) 209-4619
Mailing address
5400 KODIAK MOUNTAIN DR, YORBA LINDA, CA 92887-4258
(913) 209-4619
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0102X
Surgical Critical Care Physician
—
—
2086S0127X
Trauma Surgery Physician
—
—
Other
Enumeration date
10/08/2019
Last updated
02/28/2020
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