Healthcare Provider Details

I. General information

NPI: 1164658852
Provider Name (Legal Business Name): PIARA HARI DHILLON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: PIARA HARI DILLON

II. Dates (important events)

Enumeration Date: 06/08/2009
Last Update Date: 03/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 W FELICITA AVE STE A4
ESCONDIDO CA
92025-6530
US

IV. Provider business mailing address

5000 CHESHIRE PKWY N
PLYMOUTH MN
55446-4103
US

V. Phone/Fax

Practice location:
  • Phone: 760-489-1323
  • Fax: 760-489-0975
Mailing address:
  • Phone: 888-510-0766
  • Fax: 763-268-4017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number2086
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: