Provider Demographics
NPI:1699720573
Name:NARINDER S. GREWAL, M.D., A MEDICAL CORPORATION
Entity type:Organization
Organization Name:NARINDER S. GREWAL, M.D., A MEDICAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NARINDER
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:GREWAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-405-4355
Mailing Address - Street 1:23861 MCBEAN PKWY STE A1
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-2003
Mailing Address - Country:US
Mailing Address - Phone:661-288-7978
Mailing Address - Fax:661-288-7903
Practice Address - Street 1:23861 MCBEAN PKWY
Practice Address - Street 2:SUITE A1
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-2058
Practice Address - Country:US
Practice Address - Phone:661-288-5700
Practice Address - Fax:661-288-5703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA930000958261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical