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NPI Code Detail

MEDICARE: PARAMDEEP S BHASIN, M.D.,INC.

MEDICARE: PARAMDEEP S BHASIN, M.D.,INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207LP2900XPain Medicine (Anesthesiology) PhysicianA66108CA

General Provider Information

NPI Number : 1235190265
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARAMDEEP S BHASIN, M.D.,INC.
Provider Business Mailing Address
First Line : 5 HOLLAND STE 101
Second Line :
City : IRVINE
State : CA
Zip : 92618-2568
Country : US
Telephone Number : 949-588-2190
Fax Number : 949-588-2199
Provider Business Practice Location Address
First Line : 2131 W 3RD ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90057-1901
Country : US
Telephone Number : 213-484-7111
Fax Number : 213-484-7489
Authorized Official
Title or Position : PRESIDENT
Name : PARAMDEEP S BHASIN
Credential : M.D.
Telephone Number : 949-588-2190
Provider Enumeration Date : 03/29/2006
Last Update Date : 02/02/2012

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