Healthcare Provider Details

I. General information

NPI: 1134297260
Provider Name (Legal Business Name): BAIG,ADMANI & KAPOOR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

565 MAIN ST
BRAWLEY CA
92227-2423
US

IV. Provider business mailing address

565 MAIN ST
BRAWLEY CA
92227-2423
US

V. Phone/Fax

Practice location:
  • Phone: 760-344-5529
  • Fax: 760-344-0192
Mailing address:
  • Phone: 760-344-5529
  • Fax: 760-344-0192

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. MOHAMMAD ADMANI
Title or Position: OWNER
Credential: MD
Phone: 760-344-5529