Provider Demographics
NPI:1649061581
Name:PEAR SUITE PROVIDER GROUP CA, P.C.
Entity type:Organization
Organization Name:PEAR SUITE PROVIDER GROUP CA, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VIKRAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKHRU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:213-277-7340
Mailing Address - Street 1:5250 LANKERSHIM BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-3187
Mailing Address - Country:US
Mailing Address - Phone:213-277-7340
Mailing Address - Fax:
Practice Address - Street 1:5250 LANKERSHIM BLVD STE 500
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-3187
Practice Address - Country:US
Practice Address - Phone:213-277-7340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty