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Contact Information

SANDEEP K. THAKKAR, D.O.
510 SUPERIOR AVE
STE. 200A
NEWPORT BEACH, CA92663-3663
 Phone: 562-233-9109
 Fax: 949-650-4585
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromuscular Medicine

2084N0008X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for SANDEEP K. THAKKAR, D.O.

NPI Number 1578900809
LBN Legal business name SANDEEP K. THAKKAR, D.O.
Authorized official SANDEEP THAKKAR - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/28/2013
Last updated 05/28/2013 - About 13 years ago
Identifiers
CA License # 20A10840
CA Other 20A10840 PTAN GX448A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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