Shalini Bhargava, M.D.

Individual provider Active NPI Pediatrics Physician · La Mirada, CA

NPI 1386754604 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1386754604
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
A 38744 (CA)
Practice address
15082 Imperial Hwy
La Mirada, CA 90638-1301
Phone
(562) 947-6600
Fax
(562) 947-8907
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A 38744CAMDPediatrics Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A 38744 CA Yes

Addresses

Primary practice location

15082 Imperial Hwy
La Mirada, CA 90638-1301

Mailing address

15082 Imperial Hwy
La Mirada, CA 90638-1301
Phone (562) 947-6600

Other providers in La Mirada, CA

All providers in La Mirada, CA · Pediatrics Physician in California

Sources for this page

Verify at the official NPI Registry.