MEDICARE: BALJINDER KAUR JOHL

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
1	101YS0200X	School Counselor

General Provider Information

NPI Number	:	1649302415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BALJINDER KAUR JOHL

Provider Business Mailing Address
First Line	:	8403 BAILEY RD
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95993-9524
Country	:	US
Telephone Number	:	530-822-5230
Fax Number	:	530-822-5004

Provider Business Practice Location Address
First Line	:	8403 BAILEY RD
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95993-9524
Country	:	US
Telephone Number	:	530-822-5230
Fax Number	:	530-822-5004

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2007
Last Update Date	:	07/08/2007

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Directions to “ BALJINDER KAUR JOHL ” Practice Location

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