Healthcare Provider Details

I. General information

NPI: 1366358947
Provider Name (Legal Business Name): HARJOT KAUR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8626 LOWER SACRAMENTO RD STE 41
STOCKTON CA
95210-1835
US

IV. Provider business mailing address

7246 REMMET AVE
CANOGA PARK CA
91303-1531
US

V. Phone/Fax

Practice location:
  • Phone: 209-478-2487
  • Fax:
Mailing address:
  • Phone: 818-206-0360
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number742972
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: