Healthcare Provider Details

I. General information

NPI: 1548641152
Provider Name (Legal Business Name): G SEKHON APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2015
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3031 W MARCH LN STE 328
STOCKTON CA
95219-6562
US

IV. Provider business mailing address

545 SARATOGA AVE STE B
SANTA CLARA CA
95050-5672
US

V. Phone/Fax

Practice location:
  • Phone: 209-594-0485
  • Fax: 209-594-0720
Mailing address:
  • Phone: 408-403-4337
  • Fax: 916-691-0976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number50820
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number50820
License Number StateCA

VIII. Authorized Official

Name: DR. GURSIMRAT K SEKHON
Title or Position: OWNER
Credential: D.D.S.
Phone: 209-594-0485