| Amandeep Kaur Johal, M.d., Inc, A Medical Corporation | |
|
2693 Florin Rd Sacramento CA 95822-4524 | |
| (248) 635-0841 | |
| Not Available |
| Full Name | Amandeep Kaur Johal, M.d., Inc, A Medical Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 2693 Florin Rd, Sacramento, California |
| Authorized Official Name and Position | Amandeep Kaur Johal (OWNER) |
| Authorized Official Contact | 2486350841 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amandeep Kaur Johal, M.d., Inc, A Medical Corporation 2693 Florin Rd Sacramento CA 95822-4524 Ph: (248) 635-0841 | Amandeep Kaur Johal, M.d., Inc, A Medical Corporation 2693 Florin Rd Sacramento CA 95822-4524 Ph: (248) 635-0841 |
| NPI Number | 1568228807 |
|---|---|
| Provider Enumeration Date | 02/26/2024 |
| Last Update Date | 02/26/2024 |
| Medicare PECOS PAC ID | 7911349089 |
|---|---|
| Medicare Enrollment ID | O20240522000321 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568228807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Amandeep Johal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578720462 PECOS PAC ID: 4082868450 Enrollment ID: I20240522000398 |
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