Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | A80644 | CA |
N | 207R00000X | Internist | A80644 | CA |
N | 111NI0900X | Internist | A80644 | CA |
N | 207RP1001X | Pulmonary Disease | A80644 | CA |
N | 208000000X | Pediatrician | A80644 | CA |
N | 2080P0214X | Pediatric Pulmonologist | A80644 | CA |
NPI | 1316035363 |
---|---|
Provider Name | Dr. Inderpal Singh Randhawa |
First Address | Long Beach, CA 90806-1701 |
Second Address | Long Beach, CA 90806-1701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 23/09/2010 |