Provider Demographics
NPI:1164972162
Name:KAUR, JASVINDER (PHD, RDN, RD, MS)
Entity Type:Individual
Prefix:DR
First Name:JASVINDER
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:PHD, RDN, RD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34408 ALBERTA TER
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94555-2906
Mailing Address - Country:US
Mailing Address - Phone:510-796-4656
Mailing Address - Fax:
Practice Address - Street 1:34408 ALBERTA TER
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94555-2906
Practice Address - Country:US
Practice Address - Phone:510-796-4656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-13
Last Update Date:2016-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA849118133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA849118OtherACADEMY OF NUTRITION AND DIETETICS