Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Banipal Medical Corp

Organization Vascular Surgery Physician · NPI 1417576307

Banipal Medical Corp is a Vascular Surgery Physician in San Bernardino, California. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

355 E 21st St Ste C
San Bernardino, CA 92404-4851
Phone: (818) 926-5272
Fax: (573) 250-7382
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X

Record details

NPI number1417576307
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Simpledeep Banipal — Vascular Surgeon · (818) 926-5272
Other names Advanced Vascular And Vein Center
NPI enumeratedApril 10, 2020
Last updated in NPPESApril 10, 2020
Certification dateApril 10, 2020
Mailing address19400 Turtle Ridge Ln, Porter Ranch, CA 91326-3803

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