Provider Demographics
NPI:1922889559
Name:MY PUNJAB, LLC
Entity Type:Organization
Organization Name:MY PUNJAB, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NANDINI
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:818-317-9520
Mailing Address - Street 1:19350 BUSINESS CENTER DR STE 112
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-6454
Mailing Address - Country:US
Mailing Address - Phone:818-317-9520
Mailing Address - Fax:818-706-2400
Practice Address - Street 1:7320 WIBLE RD
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93313
Practice Address - Country:US
Practice Address - Phone:818-317-9520
Practice Address - Fax:818-712-8009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-10
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care