Provider Demographics
NPI:1063699387
Name:GHARMALKAR, SUBHASH RAMCHANDRA (ND,LAC)
Entity type:Individual
Prefix:DR
First Name:SUBHASH
Middle Name:RAMCHANDRA
Last Name:GHARMALKAR
Suffix:
Gender:M
Credentials:ND,LAC
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Mailing Address - Street 1:1530 BAKER ST
Mailing Address - Street 2:SUITE G
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-3752
Mailing Address - Country:US
Mailing Address - Phone:714-437-7710
Mailing Address - Fax:714-437-7157
Practice Address - Street 1:1530 BAKER ST
Practice Address - Street 2:SUITE G
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-3752
Practice Address - Country:US
Practice Address - Phone:714-437-7710
Practice Address - Fax:714-437-7157
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-29
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAAC 4473171100000X
CAND 182175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist