Healthcare Provider Details

I. General information

NPI: 1215722970
Provider Name (Legal Business Name): FIRST OPINION PROFESSIONAL SERVICES CALIFORNIA, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2025
Last Update Date: 04/14/2025
Certification Date: 04/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4240 LAUREL CANYON BLVD UNIT 103
STUDIO CITY CA
91604-2186
US

IV. Provider business mailing address

8605 SANTA MONICA BLVD # 68379
WEST HOLLYWOOD CA
90069-4109
US

V. Phone/Fax

Practice location:
  • Phone: 888-811-9064
  • Fax:
Mailing address:
  • Phone: 888-811-9064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. VIKRAM BAKHRU
Title or Position: PRESIDENT
Credential: MD
Phone: 202-487-0801