Healthcare Provider Details

I. General information

NPI: 1942838008
Provider Name (Legal Business Name): HARMANDEEP KAUR GREWAL DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DR. HARMANDEEP KAUR GREWAL

II. Dates (important events)

Enumeration Date: 04/01/2020
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5127 W NOBLE AVE
VISALIA CA
93277-8354
US

IV. Provider business mailing address

134 N MAIN ST STE B
PORTERVILLE CA
93257-3714
US

V. Phone/Fax

Practice location:
  • Phone: 559-782-0200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number20297
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: