Individual
BANPREET SAMRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
504 S SIERRA MADRE BLVD, PASADENA, CA 91107-5240
(818) 361-5437
Mailing address
504 S SIERRA MADRE BLVD, PASADENA, CA 91107-5240
(818) 361-5437
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/04/2023
Last updated
02/06/2026
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