Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | A100525 | CA |
N | 207RP1001X | Pulmonary Disease | A100525 | CA |
NPI | 1033426341 |
---|---|
Provider Name | Bhavini Jashvant Jaiswal |
First Address | Newport Beach, CA 92658-6100 |
Second Address | Newport Beach, CA 92663-4162 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2010 |
Last Update Date | 08/09/2010 |