| Kalpesh Bhavsar Md Professional Corporation | |
|
4619 Rosemead Blvd Rosemead CA 91770-1478 | |
| (626) 286-1191 | |
| (619) 583-2729 |
| Full Name | Kalpesh Bhavsar Md Professional Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4619 Rosemead Blvd, Rosemead, California |
| Authorized Official Name and Position | Daisy Arias (OFFICE MANAGER) |
| Authorized Official Contact | 6195830747 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kalpesh Bhavsar Md Professional Corporation Po Box 2008 Covina CA 91722-8008 Ph: (619) 583-0747 | Kalpesh Bhavsar Md Professional Corporation 4619 Rosemead Blvd Rosemead CA 91770-1478 Ph: (626) 286-1191 |
| NPI Number | 1528327178 |
|---|---|
| Provider Enumeration Date | 05/16/2012 |
| Last Update Date | 02/06/2013 |
| Medicare PECOS PAC ID | 9436312873 |
|---|---|
| Medicare Enrollment ID | O20120522000760 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528327178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Kalpesh B Bhavsar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457546913 PECOS PAC ID: 3678698321 Enrollment ID: I20100917000630 |
| Provider Name | Raynard A Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437586047 PECOS PAC ID: 6709130495 Enrollment ID: I20181115002051 |
| Provider Name | Cristina Gonzales Pajarillaga-encello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417511650 PECOS PAC ID: 9931536372 Enrollment ID: I20200225002397 |
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