Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 003654 | GA |
Y | 207Q00000X | Family Doctor | A127661 | CA |
NPI | 1003045220 |
---|---|
Provider Name | Dr. Jasleen Sohal |
First Address | San Francisco, CA 94139-0001 |
Second Address | Walnut Creek, CA 94597-2168 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2009 |
Last Update Date | 02/04/2014 |