Organization · NPI-2

Bassam Bilal MD INC

Clinic/Center · Irvine, CA

NPI number1699464487
StatusActive
Last updated in NPPESMay 5, 2023

Details

NPI
1699464487
Entity type
Organization (NPI-2)
Legal business name
Bassam Bilal MD INC
Organization subpart
No
Enumeration date
May 5, 2023
Certification date
May 5, 2023
Last updated
May 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

260 Merit
Irvine, CA 92618-1416

Phone 949-344-5662 · Fax 949-502-8887

Mailing address

15642 Sand Canyon Ave Unit 54102
Irvine, CA 92619-5439

Phone 949-344-5662 · Fax 949-502-8887

Authorized official

Bassam Bilal
MD/ Ceo
9493445662

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center providers in Irvine, CA