Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | A139738 | CA |
Y | 207Q00000X | Family Doctor | A139738 | CA |
NPI | 1003171372 |
---|---|
Provider Name | Dr. Ramandeep Singh Dhillon |
First Address | San Diego, CA 92115-3621 |
Second Address | San Diego, CA 92115-3621 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2012 |
Last Update Date | 21/08/2017 |