Provider Demographics
NPI:1366484883
Name:KULAR, SARINA (MD)
Entity Type:Individual
Prefix:MRS
First Name:SARINA
Middle Name:
Last Name:KULAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7974 HAVEN AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-3052
Mailing Address - Country:US
Mailing Address - Phone:909-945-0122
Mailing Address - Fax:909-945-0125
Practice Address - Street 1:7974 HAVEN AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-3052
Practice Address - Country:US
Practice Address - Phone:909-945-0122
Practice Address - Fax:909-945-0125
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA61563207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A615630Medicaid
CA00A615630Medicaid
CA00A615631Medicare PIN