Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND 182 | CA |
NPI | 1063699387 |
---|---|
Provider Name | Dr. Subhash Ramchandra Gharmalkar |
First Address | Costa Mesa, CA 92626-3752 |
Second Address | Costa Mesa, CA 92626-3752 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2008 |
Last Update Date | 29/01/2008 |