Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | A96874 | CA |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | A96874 | CA |
NPI | 1710063854 |
---|---|
Provider Name | Dr. Kuljeet Kaur Multani |
First Address | Los Altos, CA 94022-1408 |
Second Address | Fremont, CA 94538-2299 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2006 |
Last Update Date | 05/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A968741 | (02) | CA |
A96874 | PROF LICENSE (01) | CA |