Healthcare Provider Details

I. General information

NPI: 1619881992
Provider Name (Legal Business Name): RANJOT DHILLON
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9700 W TARON DR
ELK GROVE CA
95757-8145
US

IV. Provider business mailing address

2461 N JASON AVE
FRESNO CA
93737-9611
US

V. Phone/Fax

Practice location:
  • Phone: 916-686-7300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number92944
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: