Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | A71986 | CA |
NPI | 1083673248 |
---|---|
Provider Name | Dr. Kimvir S Dhillon |
First Address | Laguna Hills, CA 92653-7638 |
Second Address | Laguna Hills, CA 92653-7638 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2006 |
Last Update Date | 29/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H87126 | (02) |