Healthcare Provider Details

I. General information

NPI: 1982929105
Provider Name (Legal Business Name): AVNEET KAUR SODHI-GAUR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AVNEET KAUR SODHI M.D.

II. Dates (important events)

Enumeration Date: 03/31/2010
Last Update Date: 01/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44815 FIG AVE
LANCASTER CA
93534-3144
US

IV. Provider business mailing address

450 N ROXBURY DR FL 3
BEVERLY HILLS CA
90210-4238
US

V. Phone/Fax

Practice location:
  • Phone: 661-949-5955
  • Fax: 661-206-8924
Mailing address:
  • Phone: 661-206-9753
  • Fax: 661-206-8924

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberA136814
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: