Healthcare Provider Details

I. General information

NPI: 1962413708
Provider Name (Legal Business Name): SARBJIT SINGH HUNDAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 12/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39263 MISSION BLVD
FREMONT CA
94539-3037
US

IV. Provider business mailing address

39263 MISSION BLVD
FREMONT CA
94539-3037
US

V. Phone/Fax

Practice location:
  • Phone: 510-796-4500
  • Fax: 510-796-4573
Mailing address:
  • Phone: 510-796-4500
  • Fax: 510-796-4573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberA34847
License Number StateCA

VIII. Authorized Official

Name: SARBJIT SINGH HUNDAL
Title or Position: DOCTOR
Credential: M.D.
Phone: 510-796-4500