Healthcare Provider Details

I. General information

NPI: 1952223315
Provider Name (Legal Business Name): SOHAL MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2249 W ATHERTON DR STE 103
MANTECA CA
95337
US

IV. Provider business mailing address

PO BOX 10417
HOLYOKE MA
01041-2017
US

V. Phone/Fax

Practice location:
  • Phone: 209-249-1000
  • Fax:
Mailing address:
  • Phone: 925-800-0660
  • Fax: 413-540-0159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAVINDERJIT SOHAL
Title or Position: CENTER DIRECTOR
Credential:
Phone: 209-249-1000