Healthcare Provider Details

I. General information

NPI: 1669866497
Provider Name (Legal Business Name): PARMJIT CHATWAL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2015
Last Update Date: 03/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2311 LOVERIDGE RD
PITTSBURG CA
94565-5117
US

IV. Provider business mailing address

595 CENTER AVE
MARTINEZ CA
94553-4633
US

V. Phone/Fax

Practice location:
  • Phone: 925-431-2600
  • Fax:
Mailing address:
  • Phone: 925-313-6098
  • Fax: 925-313-6599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number726501
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: