Healthcare Provider Details

I. General information

NPI: 1942531066
Provider Name (Legal Business Name): JEETINDER SINGH SOHAL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2010
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

173 E WEBSTER ST
COLUSA CA
95932-2949
US

IV. Provider business mailing address

PO BOX 2
YUBA CITY CA
95992-0002
US

V. Phone/Fax

Practice location:
  • Phone: 530-458-8050
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA110878
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: