Healthcare Provider Details

I. General information

NPI: 1891039871
Provider Name (Legal Business Name): BIKRAM SINGH SEKHON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2012
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 E SOUTH ST STE 308
LAKEWOOD CA
90805-4598
US

IV. Provider business mailing address

7441 EDINGER AVE UNIT 301
HUNTINGTON BEACH CA
92647-7857
US

V. Phone/Fax

Practice location:
  • Phone: 562-630-3111
  • Fax: 562-630-3107
Mailing address:
  • Phone: 347-502-5452
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberA133956
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: