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Individual

DR. MEENAKSHI BHASIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1500 SAN PABLO ST, LOS ANGELES, CA 90033-5313
(323) 409-4614
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 409-4614

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
A115566
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A115566
CA MEDICAL LICENSE
CA
Enumeration date
06/25/2009
Last updated
06/24/2014
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