Healthcare Provider Details

I. General information

NPI: 1770760043
Provider Name (Legal Business Name): GURVIR KHURANA INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2008
Last Update Date: 01/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10408 SOUTHPORT GLN
BAKERSFIELD CA
93311-2915
US

IV. Provider business mailing address

10408 SOUTHPORT GLN
BAKERSFIELD CA
93311-2915
US

V. Phone/Fax

Practice location:
  • Phone: 661-664-0790
  • Fax: 661-664-0790
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA93172
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberA93172
License Number StateCA

VIII. Authorized Official

Name: DR. GURVIR KHURANA
Title or Position: CEO
Credential: M.D.
Phone: 661-664-0790