Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 10385 T | CA |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 10385 T | CA |
N | 152WL0500X | Optomitrist - Low Vision Rehabilitation | 10385 T | CA |
NPI | 1194889675 |
---|---|
Provider Name | Dr. Satpal Singh Multani |
First Address | San Bernardino, CA 92408-4207 |
Second Address | San Bernardino, CA 92408-4207 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2006 |
Last Update Date | 09/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
SD0103851 | (05) | CA |