Provider Demographics
NPI:1154917318
Name:JASPREET SOMAL M.D., A.P.C.
Entity type:Organization
Organization Name:JASPREET SOMAL M.D., A.P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASPREET
Authorized Official - Middle Name:
Authorized Official - Last Name:SOMAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-522-4004
Mailing Address - Street 1:4776 ALLIED RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92120-2412
Mailing Address - Country:US
Mailing Address - Phone:216-776-8923
Mailing Address - Fax:
Practice Address - Street 1:1687 ERRINGER RD STE 215
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-6510
Practice Address - Country:US
Practice Address - Phone:805-522-4004
Practice Address - Fax:805-583-3709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-11
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care MedicineGroup - Multi-Specialty