Individual
JASPAL S DHALIWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 SANTA MARIA WAY # A, SANTA MARIA, CA 93455-2118
(805) 938-9200
Mailing address
2801 SANTA MARIA WAY #A, SANTA MARIA, CA 97304-1073
(805) 938-9200
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
00044710
WA
208D00000X
General Practice Physician
A105383
CA
Other
Enumeration date
12/09/2010
Last updated
01/31/2014
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