Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | G70650 | CA |
Y | 207XS0117X | Orthopaedic Spine Surgeon | G70650 | CA |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | G70650 | CA |
NPI | 1285639922 |
---|---|
Provider Name | Gurvinder Sunny Uppal |
First Address | Riverside, CA 92501-1777 |
Second Address | Riverside, CA 92501-1777 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2005 |
Last Update Date | 10/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200027890 | RAILROAD MEDICARE (01) | CA |
C32703 | (02) | CA |