Tandon, Smita Bhargava

Tandon, Smita Bhargava is an sole proprietor health care provider with primary practice located at 11100 Warner Ave Ste 368 , Fountain Valley CA 92708-7514. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Tandon, Smita Bhargava can be contacted via phone (714) 241-1777.

Contact Information

Primary practice address
11100 Warner Ave Ste 368 Fountain Valley CA 92708-7514
Phone: (714) 241-1777
Fax: (714) 241-7221
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A49104 California

Profile Details

NPI number 1205835634
LBN Legal business name Tandon, Smita Bhargava
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2005
Last updated Jan 6th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205835634 NPPES
California MEDICAID 00A491041
California MEDICAID 1205835634

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