Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A96187 | CA |
N | 111NI0900X | Internist | A96187 | CA |
N | 207RH0002X | Hospice and Palliative Medicine | A96187 | CA |
NPI | 1376581967 |
---|---|
Provider Name | Sandhya K Bhalla-Regev |
First Address | Encinitas, CA 92023-1189 |
Second Address | Encinitas, CA 92024-5142 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2006 |
Last Update Date | 21/11/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I51851 | (02) | AZ |