Healthcare Provider Details

I. General information

NPI: 1699720573
Provider Name (Legal Business Name): NARINDER S. GREWAL, M.D., A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 03/13/2024
Certification Date: 01/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23861 MCBEAN PKWY SUITE A1
VALENCIA CA
91355-2058
US

IV. Provider business mailing address

23861 MCBEAN PKWY STE A1
VALENCIA CA
91355-2003
US

V. Phone/Fax

Practice location:
  • Phone: 661-288-5700
  • Fax: 661-288-5703
Mailing address:
  • Phone: 661-288-7978
  • Fax: 661-288-7903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number930000958
License Number StateCA

VIII. Authorized Official

Name: NARINDER SINGH GREWAL
Title or Position: MEDICAL DIRECTOR/ OWNER
Credential:
Phone: 805-405-4355