Organization · Type 2 NPI
Banipal Medical Corp
Vascular Surgery Physician · San Bernardino, CA
NPI number
1417576307
Active
Practice location
355 E 21st St Ste C
San Bernardino, CA 92404-4851
Fax (573) 250-7382
Mailing address
19400 Turtle Ridge Ln
Porter Ranch, CA 91326-3803
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | None listed |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Another provider at this address
Other vascular surgery physician providers in San Bernardino
About NPI 1417576307
Banipal Medical Corp's National Provider Identifier is 1417576307, issued on Apr 10, 2020. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in San Bernardino, CA. The record was last updated on Apr 10, 2020.