Provider Demographics
NPI:1629006408
Name:BRAR, BALBIR S (MD)
Entity Type:Individual
Prefix:DR
First Name:BALBIR
Middle Name:S
Last Name:BRAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 55283
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91385-0283
Mailing Address - Country:US
Mailing Address - Phone:661-253-3008
Mailing Address - Fax:661-253-1448
Practice Address - Street 1:23861 MCBEAN PKWY
Practice Address - Street 2:SUITE D 16
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-2058
Practice Address - Country:US
Practice Address - Phone:661-253-3008
Practice Address - Fax:661-253-1448
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2017-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA43171207R00000X, 207RG0300X, 207RH0002X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOOA43171OMedicaid
CAA43171Medicare ID - Type Unspecified
CAOOA43171OMedicaid