Healthcare Provider Details

I. General information

NPI: 1609678903
Provider Name (Legal Business Name): KULWINDER KAUR BHULLAR PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2025
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 MARKET ST STE 1940
SAN FRANCISCO CA
94105-2448
US

IV. Provider business mailing address

455 MARKET ST STE 1940
SAN FRANCISCO CA
94105-2448
US

V. Phone/Fax

Practice location:
  • Phone: 209-403-0766
  • Fax:
Mailing address:
  • Phone: 209-403-0766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number950339761
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: