Provider Demographics
NPI:1154817096
Name:KAUR, PALWINDER (LAC)
Entity Type:Individual
Prefix:
First Name:PALWINDER
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 SAN BITTERN LN
Mailing Address - Street 2:
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-1224
Mailing Address - Country:US
Mailing Address - Phone:949-870-2786
Mailing Address - Fax:
Practice Address - Street 1:1076 E 1ST ST STE B
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3852
Practice Address - Country:US
Practice Address - Phone:844-763-7688
Practice Address - Fax:949-870-2786
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-03
Last Update Date:2018-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist