Individual
DAVINDER-DEEP BHANGOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-3229
Mailing address
6703 GUADALUPE LN, STOCKTON, CA 95219-8838
(559) 301-5201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA64648
CA
Other
Enumeration date
06/18/2024
Last updated
02/04/2026
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