Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC27413 | CA |
N | 111NX0100X | Occupational Health | DC27413 | CA |
NPI | 1518982669 |
---|---|
Provider Name | Dr. Jagtar S Dhesi |
First Address | San Ramon, CA 94583-0657 |
Second Address | San Ramon, CA 94583-4773 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 03/02/2015 |