Doctor Name: | REHANA S. BAQAI |
NPI Number: | 1164478855 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | A48182 |
Business Practice Address: | 260 E Ontario Ave Suite # 101 Corona, CA - 928793506 |
Business Phone Number: | 9513712411 |
Business Fax Number: | 9512840177 |
Mailing Address: | 18111 Brookhurst St, Suite # 6100 FOUNTAIN VALLEY |
State: | CA |
Postal Code: | 927086728 |
Phone Number: | 7146980300 |
Fax Number: | 7146980313 |
NPI Enumeration Date: | 05/25/2006 |
NPI Last Update Date: | 10/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | A48182 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |