Provider Demographics
NPI:1093496713
Name:KAUR, PARMINDER
Entity type:Individual
Prefix:
First Name:PARMINDER
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 PARK DRIVE
Mailing Address - Street 2:APT 1206
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709
Mailing Address - Country:US
Mailing Address - Phone:909-919-3727
Mailing Address - Fax:
Practice Address - Street 1:5700 PARK DRIVE
Practice Address - Street 2:APT 1206
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709
Practice Address - Country:US
Practice Address - Phone:909-919-3727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-26
Last Update Date:2024-08-05
Deactivation Date:2024-02-28
Deactivation Code:
Reactivation Date:2024-08-05
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program