Neha H Bhansali
Medical Specialty
Professional ID
- NPI: 1700923893
- PECOS ID: 5890878417
- Enrollment ID: I20080205000669
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2000
Hospital Service
- Hospital CCN1: 050581
- Business Name (LBN)1: Lakewood Regional Medical Center
- Hospital CCN2: 050551
- Business Name (LBN)2: Los Alamitos Medical Center
Medical Practices
- Organization Name: Jesse J Licuanan Md A Medical Corporation
- Group Practice ID assigned by PECOS: 2264610195
- Number of Group Practice member: 2
Location
- Address1: 3300 E S St
- Address2: Suite 205
- City: Long Beach
- State: California
- Zip Code: 90805
- Phone Number: (562)531-0377
Medical Practices
- Organization Name: Prohealth Partners, A Medical Group
- Group Practice ID assigned by PECOS: 2769388412
- Number of Group Practice member: 138
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):