Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 264655 | NY |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | A107865 | CA |
NPI | 1003079062 |
---|---|
Provider Name | Dr. Jagmeet S Mundi |
First Address | Mission Viejo, CA 92691-8003 |
Second Address | Mission Viejo, CA 92691-8003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2008 |
Last Update Date | 22/08/2013 |