| Sushma Bahl Md, Inc. | |
|
16300 Sand Canyon Ave Suite 708 Irvine CA 92618-3711 | |
| (714) 262-9143 | |
| (866) 874-1139 |
| Full Name | Sushma Bahl Md, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 16300 Sand Canyon Ave, Irvine, California |
| Authorized Official Name and Position | Dianna Thorbjornsen (OFFICE MANAGER) |
| Authorized Official Contact | 9093960309 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sushma Bahl Md, Inc. 23437 Golden Springs Dr Suite 114 Diamond Bar CA 91765-2030 Ph: (909) 396-0309 | Sushma Bahl Md, Inc. 16300 Sand Canyon Ave Suite 708 Irvine CA 92618-3711 Ph: (714) 262-9143 |
| NPI Number | 1508158957 |
|---|---|
| Provider Enumeration Date | 05/04/2011 |
| Last Update Date | 05/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508158957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A45671 (California) | Primary |
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