Provider Demographics
NPI:1275638009
Name:DHALIWAL, SIMMI P (MD)
Entity Type:Individual
Prefix:DR
First Name:SIMMI
Middle Name:P
Last Name:DHALIWAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 9032
Mailing Address - Street 2:
Mailing Address - City:ALTA LOMA
Mailing Address - State:CA
Mailing Address - Zip Code:91701-1032
Mailing Address - Country:US
Mailing Address - Phone:909-622-5654
Mailing Address - Fax:909-622-4914
Practice Address - Street 1:160 E ARTESIA ST STE 330
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-2922
Practice Address - Country:US
Practice Address - Phone:909-622-5654
Practice Address - Fax:909-622-4914
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA63694207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology