Healthcare Provider Details

I. General information

NPI: 1790202646
Provider Name (Legal Business Name): NARITA KAUR SANDHU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2017
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3454 HILLCREST AVE
ANTIOCH CA
94531-8238
US

IV. Provider business mailing address

297 E CENTRAL PKWY
MOUNTAIN HOUSE CA
95391-8288
US

V. Phone/Fax

Practice location:
  • Phone: 925-777-6300
  • Fax:
Mailing address:
  • Phone: 734-772-2904
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number140886
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: