Healthcare Provider Details

I. General information

NPI: 1942116702
Provider Name (Legal Business Name): VIMALPREET KAUR KHINDA
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

7373 WEST LN
STOCKTON CA
95210-3377
US

IV. Provider business mailing address

3921 BILSTED WAY
SACRAMENTO CA
95834-3837
US

V. Phone/Fax

Practice location:
  • Phone: 209-476-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number92750
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: