Healthcare Provider Details

I. General information

NPI: 1659204204
Provider Name (Legal Business Name): GURPREET KAUR SANDHU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7903 GLISTEN WAY
BAKERSFIELD CA
93313-5646
US

IV. Provider business mailing address

7903 GLISTEN WAY
BAKERSFIELD CA
93313-5646
US

V. Phone/Fax

Practice location:
  • Phone: 661-770-7230
  • Fax:
Mailing address:
  • Phone: 661-770-7230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95051733
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: