Healthcare Provider Details

I. General information

NPI: 1962727735
Provider Name (Legal Business Name): GURPREET HOTHI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2010
Last Update Date: 04/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 GOVERNORS LN
CHICO CA
95926-5515
US

IV. Provider business mailing address

1736 AUGUSTA LN
YUBA CITY CA
95993-8242
US

V. Phone/Fax

Practice location:
  • Phone: 530-267-7200
  • Fax:
Mailing address:
  • Phone: 530-415-2810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: