Healthcare Provider Details

I. General information

NPI: 1275018681
Provider Name (Legal Business Name): RAJWINDER KAUR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2018
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2559 W ROSAMOND BLVD STE D
ROSAMOND CA
93560-6267
US

IV. Provider business mailing address

2345 E PRATER WAY STE 207
SPARKS NV
89434-9634
US

V. Phone/Fax

Practice location:
  • Phone: 661-256-6365
  • Fax: 661-256-9295
Mailing address:
  • Phone: 661-256-6365
  • Fax: 661-256-9295

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95009535
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: