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Individual

DR. RAHUL BHOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(888) 770-2462
(855) 212-6740
Mailing address
1201 W LA VETA AVE, ORANGE, CA 92868-4203

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C144757
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1609910033
CA
Enumeration date
02/18/2007
Last updated
08/31/2017
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