Provider Demographics
NPI:1689782120
Name:SARINA KULAR M.D. INC.
Entity Type:Organization
Organization Name:SARINA KULAR M.D. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARINA
Authorized Official - Middle Name:H
Authorized Official - Last Name:KULAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-945-0122
Mailing Address - Street 1:7974 HAVEN AVE
Mailing Address - Street 2:STE 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:STE 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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2010-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A615630Medicaid
CA00A615630Medicaid
CAZZZ02756ZMedicare PIN