Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PE0004X | Emergency Medical Services | A92314 | CA |
Y | 207R00000X | Internist | A92314 | CA |
Y | 111NI0900X | Internist | A92314 | CA |
NPI | 1003821406 |
---|---|
Provider Name | Harminder S Longia |
First Address | Clovis, CA 93619-8676 |
Second Address | Fresno, CA 93703-2223 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 17/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
PENDING | (02) | CA |
PENDING | (05) | CA |