Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | A37505 | CA |
NPI | 1033394531 |
---|---|
Provider Name | Mrs. Sadhna Dhand |
First Address | West Covina, CA 91790-3404 |
Second Address | West Covina, CA 91790-3404 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2008 |
Last Update Date | 30/10/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A375050 | (05) | CA |
A85023 | (02) | CA |