Individual
NAMNEET K DHALIWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1100 E STEWART DR, ORANGE, CA 92868
(714) 771-8002
Mailing address
1507 ALEXANDER CT, BREA, CA 92821-2744
(714) 932-9409
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA13223
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA13223
PHYSICIAN ASSISTANT
CA
Enumeration date
04/02/2007
Last updated
07/08/2007
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