Provider Demographics
NPI:1285398743
Name:KAUR, JASMINE
Entity type:Individual
Prefix:
First Name:JASMINE
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 1:2035 HURLEY WAY STE 290
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-3221
Mailing Address - Country:US
Mailing Address - Phone:916-758-9768
Mailing Address - Fax:916-550-1124
Practice Address - Street 1:2035 HURLEY WAY STE 290
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-3221
Practice Address - Country:US
Practice Address - Phone:916-758-9768
Practice Address - Fax:916-550-1124
Is Sole Proprietor?:No
Enumeration Date:2021-10-29
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156F00000XEye and Vision Services ProvidersTechnician/Technologist