Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 125061152 | IL |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 286945 | NY |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | A154346 | CA |
NPI | 1033472022 |
---|---|
Provider Name | Dr. Harpreet Singh Bawa |
First Address | Thousand Oaks, CA 91361-1028 |
Second Address | Thousand Oaks, CA 91361-1028 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2012 |
Last Update Date | 02/10/2018 |