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Individual

DR. KULJINDER SINGH GREWAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8881 FLETCHER PARKWAY, SUITE 104, LA MESA, CA 91942-3131
(619) 644-1400
(619) 644-1422
Mailing address
8881 FLETCHER PARKWAY, SUITE 104, LA MESA, CA 91942-3131
(619) 644-1400
(619) 644-1422

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A34108
CA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
A34108
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A341080
CA
Enumeration date
07/21/2006
Last updated
10/24/2017
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