| Doctor Name: | DR. JYOTI MANOHAR BAKHRU |
| NPI Number: | 1003833948 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | A44963 |
| Business Practice Address: | 4281 Katella Ave Ste 220 Los Alamitos, CA - 907206506 |
| Business Phone Number: | 7142521135 |
| Business Fax Number: | 7142260681 |
| Mailing Address: | 4281 Katella Ave, 220 LOS ALAMITOS |
| State: | CA |
| Postal Code: | 907203500 |
| Phone Number: | 7147686501 |
| Fax Number: | |
| NPI Enumeration Date: | 07/16/2006 |
| NPI Last Update Date: | 02/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RA0000X |
| License Number: | A44963 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Adolescent Medicine |
| Taxonomy Definition: | An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |