Individual
ASHITOSH BHANSALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4733 W SUNSET BLVD FL 3, LOS ANGELES, CA 90027-6021
(630) 550-6095
Mailing address
4733 W SUNSET BLVD FL 3, LOS ANGELES, CA 90027-6021
(630) 550-6095
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A149283
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2015
Last updated
11/29/2021
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