Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | A115268 | CA |
N | 208200000X | Surgeon | 52846 | MN |
N | 208600000X | Surgeon | 52846 | MN |
NPI | 1104072545 |
---|---|
Provider Name | Dr. Jasvinder Singh Nangiana |
First Address | Los Angeles, CA 90095-7039 |
Second Address | Los Angeles, CA 90095-7039 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2008 |
Last Update Date | 19/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
ENROLLED | (05) | MN |