Healthcare Provider Details

I. General information

NPI: 1902997174
Provider Name (Legal Business Name): ROHINDER KAUR SANDHU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

353 W FOOTHILL BLVD
GLENDORA CA
91741-5309
US

IV. Provider business mailing address

333 E ARROW HWY UNIT 307
UPLAND CA
91785-7012
US

V. Phone/Fax

Practice location:
  • Phone: 626-914-5219
  • Fax:
Mailing address:
  • Phone: 626-914-5219
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA43131
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberA43131
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberA43131
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberA43131
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberA43131
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: