Healthcare Provider Details

I. General information

NPI: 1639063274
Provider Name (Legal Business Name): RGB CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2025
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

922 MONTELENA CT
LIVINGSTON CA
95334-9235
US

IV. Provider business mailing address

922 MONTELENA CT
LIVINGSTON CA
95334-9235
US

V. Phone/Fax

Practice location:
  • Phone: 209-626-0898
  • Fax:
Mailing address:
  • Phone: 669-900-5721
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: RAVINDER KAUR
Title or Position: OWNER
Credential: NP
Phone: 669-900-5721