Provider Demographics
NPI:1760541502
Name:BICHER, JAMES I (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:I
Last Name:BICHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:HAIM
Other - Middle Name:I
Other - Last Name:BICHER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4335 MARINA CITY DR UNIT 642
Mailing Address - Street 2:
Mailing Address - City:MARINA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90292-5823
Mailing Address - Country:US
Mailing Address - Phone:310-574-4428
Mailing Address - Fax:
Practice Address - Street 1:12099 W WASHINGTON BLVD STE 304
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-2621
Practice Address - Country:US
Practice Address - Phone:310-398-0013
Practice Address - Fax:310-369-4470
Is Sole Proprietor?:No
Enumeration Date:2006-12-07
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA037798174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW20930OtherPTAN