Healthcare Provider Details

I. General information

NPI: 1649061581
Provider Name (Legal Business Name): PEAR SUITE PROVIDER GROUP CA, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2025
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5250 LANKERSHIM BLVD STE 500
NORTH HOLLYWOOD CA
91601-3187
US

IV. Provider business mailing address

5250 LANKERSHIM BLVD STE 500
NORTH HOLLYWOOD CA
91601-3187
US

V. Phone/Fax

Practice location:
  • Phone: 213-277-7340
  • Fax:
Mailing address:
  • Phone: 213-277-7340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: VIKRAM BAKHRU
Title or Position: PRESIDENT
Credential: MD
Phone: 213-277-7340