Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | A36251 | CA |
Y | 207XS0117X | Orthopaedic Spine Surgeon | A36251 | CA |
N | 207XX0801X | Orthopaedic Trauma Surgeon | A36251 | CA |
NPI | 1013002625 |
---|---|
Provider Name | Dr. Sarbpaul S Bhalla |
First Address | Long Beach, CA 90807-4012 |
Second Address | Long Beach, CA 90807-4012 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 03/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A362512 | (05) | CA |
C08384 | (02) | CA |