Individual
JASJOT K. BHULLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 580-4000
Mailing address
1362 PAIGE LN, REDLANDS, CA 92373-6845
(207) 689-7007
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
C194882
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
392355
—
SC
01
—
8598
MEDICARE
SC
Enumeration date
06/13/2008
Last updated
04/21/2026
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