Provider Demographics
NPI:1255438149
Name:MAROLIA, BHARAT B (MD)
Entity type:Individual
Prefix:
First Name:BHARAT
Middle Name:B
Last Name:MAROLIA
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:17822 BEACH BLVD
Mailing Address - Street 2:SUITE 473
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-7101
Mailing Address - Country:US
Mailing Address - Phone:714-842-6638
Mailing Address - Fax:714-369-8770
Practice Address - Street 1:17822 BEACH BLVD
Practice Address - Street 2:SUITE 473
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-7101
Practice Address - Country:US
Practice Address - Phone:714-842-6638
Practice Address - Fax:714-369-8770
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2012-10-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA26762207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A267620Medicaid
CA00A267620Medicaid