Healthcare Provider Details

I. General information

NPI: 1417894320
Provider Name (Legal Business Name): NORUMI KAUR KAILA PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 AMARYLLIS DR
OAKLEY CA
94561-2206
US

IV. Provider business mailing address

5684 E ATWOOD AVE
FRESNO CA
93727-8839
US

V. Phone/Fax

Practice location:
  • Phone: 559-577-3397
  • Fax:
Mailing address:
  • Phone: 559-577-3397
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number240007274
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: