Provider Demographics
NPI:1235444118
Name:KALRA, JASPINDER KAUR (OD)
Entity Type:Individual
Prefix:
First Name:JASPINDER
Middle Name:KAUR
Last Name:KALRA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1555 SIMI TOWN CENTER WAY
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-0518
Mailing Address - Country:US
Mailing Address - Phone:805-526-0279
Mailing Address - Fax:
Practice Address - Street 1:1555 SIMI TOWN CENTER WAY
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-0518
Practice Address - Country:US
Practice Address - Phone:805-526-0279
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-16
Last Update Date:2013-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13992152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist