Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A165442 | CA |
Y | 111NI0900X | Internist | A165442 | CA |
NPI | 1003336967 |
---|---|
Provider Name | Jasmine Hundal |
First Address | Stockton, CA 95210-3339 |
Second Address | Stockton, CA 95210-3339 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2017 |
Last Update Date | 29/12/2020 |