| Ambika Bali Md Inc | |
|
1211 W La Palma Ave Ste 409 Anaheim CA 92801-2806 | |
| (714) 999-0909 | |
| (714) 999-0906 |
| Full Name | Ambika Bali Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1211 W La Palma Ave Ste 409, Anaheim, California |
| Authorized Official Name and Position | Ambika Bali (PRESIDENT) |
| Authorized Official Contact | 7149990909 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ambika Bali Md Inc Po Box 5216 Buena Park CA 90622-5216 Ph: (714) 999-0909 | Ambika Bali Md Inc 1211 W La Palma Ave Ste 409 Anaheim CA 92801-2806 Ph: (714) 999-0909 |
| NPI Number | 1831286822 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 02/05/2015 |
| Medicare PECOS PAC ID | 1456476399 |
|---|---|
| Medicare Enrollment ID | O20100915000460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831286822 | NPI | - | NPPES |
| 00A517610 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A051761 (California) | Primary |
| Provider Name | Ambika Bali |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427096478 PECOS PAC ID: 2567407802 Enrollment ID: I20060131000929 |
The Family Medicine Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 W. La Palma Avenue, Suite #404, Anaheim, CA 92801 Phone: 714-772-1030 Fax: 714-772-1758 | |
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