Healthcare Provider Details

I. General information

NPI: 1497697866
Provider Name (Legal Business Name): SUKHVINDER KAUR DEOL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SUKHVINDER KAUR CHIMA LVN

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 E 13TH ST STE D
MERCED CA
95341-6211
US

IV. Provider business mailing address

301 E 13TH ST STE D
MERCED CA
95341-6211
US

V. Phone/Fax

Practice location:
  • Phone: 209-386-1096
  • Fax:
Mailing address:
  • Phone: 209-386-1096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number749960
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: