Basic Information
| Provider Information | |||||||||
| NPI: | 1265889802 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BAJWA MD INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3525 DEL MAR HEIGHTS RD | ||||||||
| Address2: | #1027 | ||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921302199 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 5550 UNIVERSITY AVE | ||||||||
| Address2: | |||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921052307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6195823800 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/24/2016 | ||||||||
| LastUpdateDate: | 05/24/2016 | ||||||||
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| AuthorizedOfficialLastName: | BAJWA | ||||||||
| AuthorizedOfficialFirstName: | JASWINDER | ||||||||
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| AuthorizedOfficialTitleorPosition: | MD | ||||||||
| AuthorizedOfficialTelephone: | 6194322594 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | A118049 | CA | Y | Hospitals | General Acute Care Hospital |
No ID Information.