Healthcare Provider Details

I. General information

NPI: 1770080954
Provider Name (Legal Business Name): MANVEER SINGH DILTS-GARCHA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: MANVEER GARCHA MD

II. Dates (important events)

Enumeration Date: 04/12/2018
Last Update Date: 03/22/2026
Certification Date: 03/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1805 N CALIFORNIA ST STE 201
STOCKTON CA
95204-6032
US

IV. Provider business mailing address

1805 N CALIFORNIA ST STE 201
STOCKTON CA
95204-6032
US

V. Phone/Fax

Practice location:
  • Phone: 209-645-4005
  • Fax:
Mailing address:
  • Phone: 209-645-4005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberA166089
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: