Provider Demographics
NPI:1407584543
Name:GREWAL, HARJOT KAUR (DC)
Entity Type:Individual
Prefix:DR
First Name:HARJOT
Middle Name:KAUR
Last Name:GREWAL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5624 CHESTNUT CMN
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-2466
Mailing Address - Country:US
Mailing Address - Phone:408-707-4084
Mailing Address - Fax:
Practice Address - Street 1:3700 THOMAS RD STE 207
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95054-2063
Practice Address - Country:US
Practice Address - Phone:408-248-8700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36408111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor