Provider Demographics
NPI:1982141511
Name:KAUR, NAVPREET (DNP)
Entity type:Individual
Prefix:MRS
First Name:NAVPREET
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 W DUARTE RD STE 305
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-9229
Mailing Address - Country:US
Mailing Address - Phone:626-446-4659
Mailing Address - Fax:626-316-6779
Practice Address - Street 1:612 W DUARTE RD STE 305
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-9229
Practice Address - Country:US
Practice Address - Phone:626-446-4659
Practice Address - Fax:626-316-6779
Is Sole Proprietor?:No
Enumeration Date:2017-01-20
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95004628207R00000X
CA95004628363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA100195779Medicaid
CA1982141511Medicaid