Healthcare Provider Details

I. General information

NPI: 1457468001
Provider Name (Legal Business Name): SOINA KAUR DARGAN-BATRA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SOINA KAUR DARGAN M.D.

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 12/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 LINDEN AVE NICU
LONG BEACH CA
90813-3321
US

IV. Provider business mailing address

4220 COUNTRY CLUB DR
LONG BEACH CA
90807-1908
US

V. Phone/Fax

Practice location:
  • Phone: 562-225-5831
  • Fax: 714-289-0639
Mailing address:
  • Phone: 562-225-5831
  • Fax: 714-289-0639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberA78997
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: