Individual
NEIL BHAMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13160 MINDANAO WAY STE 300, MARINA DEL REY, CA 90292-6393
(415) 687-1671
Mailing address
13160 MINDANAO WAY STE 300, MARINA DEL REY, CA 90292-6393
(415) 687-1671
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A112761
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
A112761
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629235791
—
WI
01
—
70011-20
LICENSE
WI
Enumeration date
05/17/2008
Last updated
01/23/2023
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