MEDICARE: GURLEEN KAUR DHINDSA PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	58541	CA

General Provider Information

NPI Number	:	1578172573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GURLEEN KAUR DHINDSA PA-C

Provider Business Mailing Address
First Line	:	1971 AUGUSTA LN
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95993-8254
Country	:	US
Telephone Number	:	209-761-0572
Fax Number	:

Provider Business Practice Location Address
First Line	:	520 BOGUE RD STE E6
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95991-9242
Country	:	US
Telephone Number	:	530-844-5660
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2020
Last Update Date	:	09/06/2022

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