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Organization
GAGANDEEPSINGH&TIMONTHYJOHNSTON
Active
Organization
GAGANDEEPSINGH&TIMONTHYJOHNSTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HARSIMRAT KAUR BAINS (OFFICE MANAGER,RN)
(718) 964-3919
Entity
Organization
Contact information
Practice address
650 W OLIVE AVE, MERCED, CA 95348-2423
(718) 964-3919
Mailing address
836 ROUND HILL DR, MERCED, CA 95348-8422
(718) 964-3919
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093074429
—
NY
05
—
1528097847
—
CA
Enumeration date
07/05/2019
Last updated
07/05/2019
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