Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 1014759 | CA |
N | 2084N0400X | Neurologist | 20A14023 | CA |
NPI | 1003041054 |
---|---|
Provider Name | Dr. Jaspreet Kaur Mann |
First Address | Sacramento, CA 95865-5228 |
Second Address | Sacramento, CA 95816-5616 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2009 |
Last Update Date | 12/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
20A14023 | STATE MEDICAL LICENSE (01) | CA |