MEDICARE: ATTINDER KAUR SOHI

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	1223G0001X	General Practice Dentistry	29202	TX

General Provider Information

NPI Number	:	1770922718
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ATTINDER KAUR SOHI

Provider Business Mailing Address
First Line	:	2717 ORCHARD AVE APT 16
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90007-2361
Country	:	US
Telephone Number	:	213-327-5638
Fax Number	:

Provider Business Practice Location Address
First Line	:	2717 ORCHARD AVE APT 16
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90007-2361
Country	:	US
Telephone Number	:	213-327-5638
Fax Number	:

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

Provider Enumeration Date	:	06/24/2013
Last Update Date	:	06/24/2013

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Directions to “ ATTINDER KAUR SOHI ” Practice Location

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