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ASHISH BHALLA MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1184701104

Individual Registrant:
 ASHISH  BHALLA MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
3110 CHINO AVE SUITE 150B CHINO HILLS, CA 91709-1211 US
Tel: 909-630-7868  Fax: 909-630-7869

Contact information for business:
1601 MONTE VISTA AVE SUITE 190 CLAREMONT, CA 91711-2962 US
Tel: 909-865-9977  Fax: 909-946-0166

Registration Information:
NPI: 1184701104
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CAA104992

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
DEAFB108267301




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