=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437583648
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JASLEEN DUGGAL, M.D., INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/23/2013
-----------------------------------------------------
Last Update Date | 08/23/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3008 SILLECT AVE SUITE 100
-----------------------------------------------------
City | BAKERSFIELD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93308-6340
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-748-1999
-----------------------------------------------------
Fax | 188-866-8176
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3008 SILLECT AVE SUITE 100
-----------------------------------------------------
City | BAKERSFIELD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93308-6340
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-748-1999
-----------------------------------------------------
Fax | 188-866-8176
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF FINANCIAL OFFICER
-----------------------------------------------------
Name | DR. JASLEEN DUGGAL
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 661-748-1999
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RE0101X
-----------------------------------------------------
Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
-----------------------------------------------------
License Number | A113472
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------