Organization
UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHAVRAJ KHALSA M.D. (RESIDENT PHYSICIAN)
(661) 472-8118
Entity
Organization
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-7890
Mailing address
5301 E THE TOLEDO UNIT 304, LONG BEACH, CA 90803-7210
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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