Healthcare Provider Details

I. General information

NPI: 1841112752
Provider Name (Legal Business Name): JASKARAN KAUR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 INDUSTRIAL PKWY APT 311
HAYWARD CA
94544-6626
US

IV. Provider business mailing address

375 INDUSTRIAL PKWY APT 311
HAYWARD CA
94544-6626
US

V. Phone/Fax

Practice location:
  • Phone: 510-904-7751
  • Fax:
Mailing address:
  • Phone: 510-904-7751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number744658
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: