Provider Demographics
NPI:1821404096
Name:BHASIN, GURLEEN KAUR (MD)
Entity Type:Individual
Prefix:
First Name:GURLEEN
Middle Name:KAUR
Last Name:BHASIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8510 BALBOA BLVD
Mailing Address - Street 2:STE 150
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91325-5810
Mailing Address - Country:US
Mailing Address - Phone:818-654-3400
Mailing Address - Fax:818-654-3417
Practice Address - Street 1:7325 MEDICAL CENTER DR
Practice Address - Street 2:STE 300
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-4117
Practice Address - Country:US
Practice Address - Phone:818-348-6200
Practice Address - Fax:818-348-6233
Is Sole Proprietor?:No
Enumeration Date:2014-07-08
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA158945207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine