Provider Demographics
NPI:1710073242
Name:KALEKA AND BRAR, A GENERAL PARTNERSHIP
Entity Type:Organization
Organization Name:KALEKA AND BRAR, A GENERAL PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PARDEEP
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:BRAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-641-2220
Mailing Address - Street 1:6818 LA CIENEGA BLVD
Mailing Address - Street 2:#102
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90302
Mailing Address - Country:US
Mailing Address - Phone:310-641-2220
Mailing Address - Fax:310-641-5605
Practice Address - Street 1:6818 LA CIENEGA BLVD
Practice Address - Street 2:#102
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90302
Practice Address - Country:US
Practice Address - Phone:310-641-2220
Practice Address - Fax:310-641-5605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA520431223G0001X
CA524071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG94124OtherDENTI-CAL