Provider Demographics
NPI:1164707519
Name:KALSI, AMANDEEP (LAC, DC)
Entity Type:Individual
Prefix:DR
First Name:AMANDEEP
Middle Name:
Last Name:KALSI
Suffix:
Gender:F
Credentials:LAC, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9135 ARCHIBALD AVE STE E
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730
Mailing Address - Country:US
Mailing Address - Phone:909-276-7168
Mailing Address - Fax:909-218-2810
Practice Address - Street 1:9135 ARCHIBALD AVE STE E
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730
Practice Address - Country:US
Practice Address - Phone:909-276-7168
Practice Address - Fax:909-218-2810
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-17
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14476171100000X
CADC 33643111N00000X
171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No111N00000XChiropractic ProvidersChiropractor