Healthcare Provider Details

I. General information

NPI: 1982141511
Provider Name (Legal Business Name): NAVPREET KAUR DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2017
Last Update Date: 12/05/2024
Certification Date: 12/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

612 W DUARTE RD STE 305
ARCADIA CA
91007-9229
US

IV. Provider business mailing address

612 W DUARTE RD STE 305
ARCADIA CA
91007-9229
US

V. Phone/Fax

Practice location:
  • Phone: 626-446-4659
  • Fax: 626-316-6779
Mailing address:
  • Phone: 626-446-4659
  • Fax: 626-316-6779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberNP95004628
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95004628
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: