Individual
BALJIT SINGH DHILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5140 DUREN CIR, FAIRFIELD, CA 94533-8978
(631) 922-7371
Mailing address
5140 DUREN CIR, FAIRFIELD, CA 94533-8978
(631) 922-7371
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95014720
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95014720
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95014720
CALIFORNIA BOARD
CA
Enumeration date
06/12/2020
Last updated
11/16/2022
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