Healthcare Provider Details

I. General information

NPI: 1457285876
Provider Name (Legal Business Name): INDERJIT SINGH SARAI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2279 WALNUT DR
LIVE OAK CA
95953-2137
US

IV. Provider business mailing address

2279 WALNUT DR
LIVE OAK CA
95953-2137
US

V. Phone/Fax

Practice location:
  • Phone: 530-852-1446
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number92412
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: