Healthcare Provider Details

I. General information

NPI: 1033777123
Provider Name (Legal Business Name): JASPREET KAUR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2019
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

785 N MEDICAL CENTER DR W STE 203
CLOVIS CA
93611-6878
US

IV. Provider business mailing address

39000 BOB HOPE DR
RANCHO MIRAGE CA
92270-3221
US

V. Phone/Fax

Practice location:
  • Phone: 559-387-1900
  • Fax:
Mailing address:
  • Phone: 760-333-1813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberA177027
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: