Provider Demographics
NPI:1801664784
Name:BIBI HEALTH
Entity type:Organization
Organization Name:BIBI HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:HARCHARAN
Authorized Official - Middle Name:JEET
Authorized Official - Last Name:BAINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:417-720-5822
Mailing Address - Street 1:3111 S VENTURA AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-4579
Mailing Address - Country:US
Mailing Address - Phone:417-720-5822
Mailing Address - Fax:
Practice Address - Street 1:2420 VISTA WAY STE 101
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-6190
Practice Address - Country:US
Practice Address - Phone:442-266-2196
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-19
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty