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NISHA BUNKE MD NPI 1518256734


NPI Information

NPI: 1518256734
Provider Name: NISHA BUNKE, MD

Doing Business As: LA JOLLA VEIN CARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
9850 GENESEE AVE
SUITE 410
LA JOLLA, CA
ZIP 92037
Phone: (858) 550-0330
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NISHA BUNKE, MD is a family medicine in La Jolla, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NISHA BUNKE, MD NPI is 1518256734. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As La Jolla Vein Care.

The provider's business location address is:

9850 GENESEE AVE
SUITE 410
LA JOLLA, CA
ZIP 92037-224
Phone: (858) 550-0330
Fax: (858) 550-0676

The provider's authorized official is Nisha Janaya Bunke .
The authorized official title is Owner and has the following contact phone number (858) 550-0330.

The enumeration date for this NPI number is 3/29/2011 and was last updated on 6/25/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A101022OTHERCALIFORNIASTATE LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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