1699720573 NPI number — NARINDER S. GREWAL, M.D., A MEDICAL CORPORATION

Table of content: (NPI 1699720573)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699720573 NPI number — NARINDER S. GREWAL, M.D., A MEDICAL CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NARINDER S. GREWAL, M.D., A MEDICAL CORPORATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1699720573
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/13/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
23861 MCBEAN PKWY STE A1
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VALENCIA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91355-2003
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
661-288-7978
Provider Business Mailing Address Fax Number:
661-288-7903

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
23861 MCBEAN PKWY
Provider Second Line Business Practice Location Address:
SUITE A1
Provider Business Practice Location Address City Name:
VALENCIA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91355-2058
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-288-5700
Provider Business Practice Location Address Fax Number:
661-288-5703
Provider Enumeration Date:
05/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GREWAL
Authorized Official First Name:
NARINDER
Authorized Official Middle Name:
SINGH
Authorized Official Title or Position:
MEDICAL DIRECTOR/ OWNER
Authorized Official Telephone Number:
805-405-4355

Provider Taxonomy Codes

  • Taxonomy code: 261QA1903X , with the licence number:  930000958 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com