Mandeep Singh Ghuman
Family Doctor Family Doctor - Sports Medicine
18460 Roscoe Blvd Fl 2
Northridge
, California 91325-4107
Mandeep Singh Ghuman
Family Doctor Family Doctor - Sports Medicine
18460 Roscoe Blvd Fl 2
Northridge
, California 91325-4107
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About
Features
Specialties
- Family Doctor
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Mandeep Singh Ghuman
- 3400 Data Dr Attn Credentialing/payer Enrollment
- Rancho Cordova, CA
- Zip : 95670-7956
- Phone :
Second Address
- Mandeep Singh Ghuman
- 18460 Roscoe Blvd Fl 2
- Northridge, CA
- Zip : 91325-4107
- Fax : (818) 993-1917
- Phone : (818) 885-5480
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | A108800 | CA |
| N | 207QS0010X | Family Doctor - Sports Medicine | A108800 | CA |
National Provider Identifier
| NPI | 1306058151 |
|---|---|
| Provider Name | Mandeep Singh Ghuman |
| First Address | Rancho Cordova, CA 95670-7956 |
| Second Address | Northridge, CA 91325-4107 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/05/2007 |
| Last Update Date | 17/03/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.