Provider Demographics
NPI:1578339206
Name:DAMANJOT & ELIN LLC
Entity Type:Organization
Organization Name:DAMANJOT & ELIN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DAMANJOT
Authorized Official - Middle Name:
Authorized Official - Last Name:GADRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-839-0074
Mailing Address - Street 1:188 FEVERFEW ST
Mailing Address - Street 2:
Mailing Address - City:MANTECA
Mailing Address - State:CA
Mailing Address - Zip Code:95337-8622
Mailing Address - Country:US
Mailing Address - Phone:408-839-0074
Mailing Address - Fax:
Practice Address - Street 1:2037 KIWI WALKWAY
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95133
Practice Address - Country:US
Practice Address - Phone:209-923-2226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care