Healthcare Provider Details

I. General information

NPI: 1811414097
Provider Name (Legal Business Name): LOVEPREET K KEHAL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2017
Last Update Date: 08/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2116 ARLINGTON AVE
LOS ANGELES CA
90018
US

IV. Provider business mailing address

2116 ARLINGTON AVE
LOS ANGELES CA
90018-1353
US

V. Phone/Fax

Practice location:
  • Phone: 323-334-9000
  • Fax:
Mailing address:
  • Phone: 323-334-9000
  • 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 Code104100000X
TaxonomySocial Worker
License Number83509
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: