Individual
GURNAM SINGH PANNU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 W AVENUE J, LANCASTER, CA 93534-2814
(661) 949-5000
(661) 949-5971
Mailing address
PO BOX 60790, PASADENA, CA 91116-6790
(626) 795-6596
(626) 795-8247
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A32856
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A328560
BLUE SHIELD
CA
05
—
00A328560
—
CA
Enumeration date
07/28/2006
Last updated
03/12/2014
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