Healthcare Provider Details

I. General information

NPI: 1720030208
Provider Name (Legal Business Name): BHUPINDER SINGH NAKAI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 09/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9327 FAIRWAY VIEW PL STE 110
RANCHO CUCAMONGA CA
91730-0968
US

IV. Provider business mailing address

9327 FAIRWAY VIEW PL STE 110
RANCHO CUCAMONGA CA
91730-0968
US

V. Phone/Fax

Practice location:
  • Phone: 909-945-3330
  • Fax: 909-945-1031
Mailing address:
  • Phone: 909-945-3330
  • Fax: 909-945-1031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberC50549
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: