Individual
DR. SHALINI BHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 MEDICAL PLZ, SUITE 530, LOS ANGELES, CA 90095-0001
(310) 825-7922
(310) 267-1899
Mailing address
2020 SANTA MONICA BLVD, SUITE 550, SANTA MONICA, CA 90404-2023
(310) 828-1050
(310) 828-2382
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A103189
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699821553
CCS PANELED
CA
05
—
1699821553
—
CA
Enumeration date
01/25/2007
Last updated
10/16/2012
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