Healthcare Provider Details

I. General information

NPI: 1437583648
Provider Name (Legal Business Name): JASLEEN DUGGAL, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2013
Last Update Date: 08/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3008 SILLECT AVE SUITE 100
BAKERSFIELD CA
93308-6340
US

IV. Provider business mailing address

3008 SILLECT AVE SUITE 100
BAKERSFIELD CA
93308-6340
US

V. Phone/Fax

Practice location:
  • Phone: 661-748-1999
  • Fax: 188-866-8176
Mailing address:
  • Phone: 661-748-1999
  • Fax: 188-866-8176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberA113472
License Number StateCA

VIII. Authorized Official

Name: DR. JASLEEN DUGGAL
Title or Position: CHIEF FINANCIAL OFFICER
Credential: M.D.
Phone: 661-748-1999