MEDICARE: ARSHDEEP SINGH JAWANDHA M.B.,B.S.

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	2084P0800X	Psychiatry Physician	36114413	IL
2	2084P0800X	Psychiatry Physician	A107401	CA

General Provider Information

NPI Number	:	1912985888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARSHDEEP SINGH JAWANDHA M.B.,B.S.

Provider Business Mailing Address
First Line	:	1165 W VALLEY VIEW DR
Second Line	:
City	:	FULLERTON
State	:	CA
Zip	:	92833-2229
Country	:	US
Telephone Number	:	310-994-1503
Fax Number	:

Provider Business Practice Location Address
First Line	:	11705 ALAMEDA ST
Second Line	:
City	:	LYNWOOD
State	:	CA
Zip	:	90262-4023
Country	:	US
Telephone Number	:	323-568-4678
Fax Number	:

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

Provider Enumeration Date	:	01/02/2006
Last Update Date	:	05/04/2025

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