Healthcare Provider Details

I. General information

NPI: 1649980939
Provider Name (Legal Business Name): SARABJIT KAUR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/29/2022
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28078 BAXTER RD STE 314
MURRIETA CA
92563-1404
US

IV. Provider business mailing address

28078 BAXTER RD STE 314
MURRIETA CA
92563-1404
US

V. Phone/Fax

Practice location:
  • Phone: 951-894-4665
  • Fax:
Mailing address:
  • Phone: 951-894-4665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP95023252
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: