Individual
DR. JATINDER S. PRUTHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1753-B W AVENUE J, LANCASTER, CA 93534
(661) 948-0803
(661) 948-5004
Mailing address
PO BOX 5988, LANCASTER, CA 93539-5988
(661) 948-0803
(661) 948-5004
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A64919
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A649190
—
CA
Enumeration date
07/14/2006
Last updated
11/19/2012
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