Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 95018623 | CA |
NPI | 1336811561 |
---|---|
Provider Name | Kiranjeet Kaur |
First Address | San Bernardino, CA 92405-3839 |
Second Address | San Bernardino, CA 92411-1736 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2021 |
Last Update Date | 05/10/2021 |