Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A41632 | CA |
N | 2080P0203X | Pediatric Critical Care Doctor | A41632 | CA |
N | 2080P0214X | Pediatric Pulmonologist | A41632 | CA |
NPI | 1467473876 |
---|---|
Provider Name | Hargurmeet Sandhu |
First Address | Pasadena, CA 91105-2501 |
Second Address | Pasadena, CA 91105-2501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A41632 | (05) | CA |