Organization
SUSHMA BAHL M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSHMA BAHL M.D. (OWNER)
(909) 396-0309
Entity
Organization
Contact information
Practice address
1200 S DIAMOND BAR BLVD, SUITE 108, DIAMOND BAR, CA 91765-2298
(909) 396-0309
(909) 396-0619
Mailing address
1249 S DIAMOND BAR BLVD, SUITE 112, DIAMOND BAR, CA 91765-4122
(909) 396-0309
(909) 396-0619
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A45671
CA
Other
Enumeration date
02/10/2010
Last updated
02/10/2010
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