Organization
AMBIKA BALI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMBIKA BALI M.D. (PRESIDENT)
(714) 999-0909
Entity
Organization
Contact information
Practice address
1211 W LA PALMA AVE STE 409, ANAHEIM, CA 92801-2806
(714) 999-0909
(714) 999-0906
Mailing address
PO BOX 5216, BUENA PARK, CA 90622-5216
(714) 999-0909
(714) 999-0906
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A051761
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A517610
—
CA
Enumeration date
10/10/2006
Last updated
02/05/2015
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