Healthcare Provider Details

I. General information

NPI: 1386662575
Provider Name (Legal Business Name): BHAVANA ARORA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 08/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11165 SEPULVEDA BLVD
MISSION HILLS CA
91345-1113
US

IV. Provider business mailing address

11165 SEPULVEDA BLVD
MISSION HILLS CA
91345-1113
US

V. Phone/Fax

Practice location:
  • Phone: 818-837-2753
  • Fax:
Mailing address:
  • Phone: 818-837-2753
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA78311
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: