Healthcare Provider Details

I. General information

NPI: 1992631733
Provider Name (Legal Business Name): HARPINDER KAUR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 COURAGE DR
FAIRFIELD CA
94533-6717
US

IV. Provider business mailing address

2109 PERCHERON DR
FAIRFIELD CA
94534-3810
US

V. Phone/Fax

Practice location:
  • Phone: 707-428-1131
  • Fax:
Mailing address:
  • Phone: 916-410-9619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License NumberVN696952
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: