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NPI Code Detail

MEDICARE: HARJOT SANDHU

MEDICARE: HARJOT SANDHU
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1679043194
Entity Type Code : Individual
Provider Name (Legal Business Name) : HARJOT SANDHU
Provider Business Mailing Address
First Line : 2342 PROFESSIONAL PKWY STE 300
Second Line :
City : SANTA MARIA
State : CA
Zip : 93455-6819
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11150 W OLYMPIC BLVD STE 1160
Second Line :
City : LOS ANGELES
State : CA
Zip : 90064-1826
Country : US
Telephone Number : 510-397-2851
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2018
Last Update Date : 07/08/2024

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Directions to “ HARJOT SANDHU ” Practice Location

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