Healthcare Provider Details

I. General information

NPI: 1467473876
Provider Name (Legal Business Name): HARGURMEET SANDHU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 W BELLEVUE DR
PASADENA CA
91105-2501
US

IV. Provider business mailing address

51 W BELLEVUE DR
PASADENA CA
91105-2501
US

V. Phone/Fax

Practice location:
  • Phone: 626-578-1003
  • Fax: 626-578-0053
Mailing address:
  • Phone: 626-578-1003
  • Fax: 626-578-0053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA41632
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License NumberA41632
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License NumberA41632
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA41632
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: