Healthcare Provider Details

I. General information

NPI: 1992694152
Provider Name (Legal Business Name): KAMALVEER KAUR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2025
Last Update Date: 07/01/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 S LOS ROBLES AVE STE 501
PASADENA CA
91101-2453
US

IV. Provider business mailing address

100 S LOS ROBLES AVE STE 501
PASADENA CA
91101-2453
US

V. Phone/Fax

Practice location:
  • Phone: 626-564-3027
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number95368494
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: