Provider Demographics
NPI:1104867555
Name:DHANDA, LAKHBINDER PALSINGH (MD)
Entity Type:Individual
Prefix:
First Name:LAKHBINDER
Middle Name:PALSINGH
Last Name:DHANDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23823 VALENCIA BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-2103
Mailing Address - Country:US
Mailing Address - Phone:661-222-7333
Mailing Address - Fax:661-259-9175
Practice Address - Street 1:23823 VALENCIA BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-2103
Practice Address - Country:US
Practice Address - Phone:661-222-7333
Practice Address - Fax:661-259-9175
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA54446174400000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A544460Medicaid
CAW16326OtherMEDICARE PTAN
CAG66090Medicare UPIN