Healthcare Provider Details

I. General information

NPI: 1932221363
Provider Name (Legal Business Name): KULDIP GILL, MD, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

623 W DUARTE RD SUITE 1
ARCADIA CA
91007-7330
US

IV. Provider business mailing address

623 W DUARTE RD SUITE 1
ARCADIA CA
91007-7330
US

V. Phone/Fax

Practice location:
  • Phone: 626-574-3000
  • Fax: 626-574-3933
Mailing address:
  • Phone: 626-574-3000
  • Fax: 626-574-3933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberA53003
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberA53003
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA53003
License Number StateCA

VIII. Authorized Official

Name: DR. KULDIP S GILL
Title or Position: OWNER
Credential: MD
Phone: 626-574-3000