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NPI Code Detail

MEDICARE: ROSE KAUR DESWAL

MEDICARE: ROSE KAUR DESWAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1373H00000XDay Training/Habilitation Specialist
2106H00000XMarriage & Family Therapist160315CA
3172V00000XCommunity Health Worker
4390200000XStudent in an Organized Health Care Education/Training Program
5225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1285459685
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSE KAUR DESWAL
Provider Business Mailing Address
First Line : 4892 SAN PABLO DAM RD
Second Line :
City : EL SOBRANTE
State : CA
Zip : 94803-3222
Country : US
Telephone Number : 510-222-3946
Fax Number :
Provider Business Practice Location Address
First Line : 4892 SAN PABLO DAM RD
Second Line :
City : EL SOBRANTE
State : CA
Zip : 94803-3222
Country : US
Telephone Number : 510-222-3946
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2024
Last Update Date : 12/12/2025

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Directions to “ ROSE KAUR DESWAL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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