| Tasneem Bholat Md Inc | |
|
3330 Lomita Blvd Torrance CA 90505-5002 | |
| (310) 598-3527 | |
| Not Available |
| Full Name | Tasneem Bholat Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3330 Lomita Blvd, Torrance, California |
| Authorized Official Name and Position | Tasneem A Bholat (OWNER) |
| Authorized Official Contact | 3105983527 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tasneem Bholat Md Inc 24325 Crenshaw Blvd # 256 Torrance CA 90505-5349 Ph: (310) 598-3527 | Tasneem Bholat Md Inc 3330 Lomita Blvd Torrance CA 90505-5002 Ph: (310) 598-3527 |
| NPI Number | 1851946867 |
|---|---|
| Provider Enumeration Date | 08/06/2019 |
| Last Update Date | 08/06/2019 |
| Medicare PECOS PAC ID | 4981933942 |
|---|---|
| Medicare Enrollment ID | O20190917001886 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851946867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Tasneem A Bholat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114151271 PECOS PAC ID: 5597928960 Enrollment ID: I20120522001098 |
| Provider Name | Josephine R Cabugnason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336585819 PECOS PAC ID: 5193965606 Enrollment ID: I20130705000217 |
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