Provider Demographics
NPI:1205461613
Name:BAL, NAVJOT (NP)
Entity type:Individual
Prefix:MRS
First Name:NAVJOT
Middle Name:
Last Name:BAL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:NAVJOT
Other - Middle Name:KAUR
Other - Last Name:BAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:118 N AKERS ST
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-5121
Mailing Address - Country:US
Mailing Address - Phone:559-627-6282
Mailing Address - Fax:559-627-4379
Practice Address - Street 1:118 N AKERS ST
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-5121
Practice Address - Country:US
Practice Address - Phone:559-627-6282
Practice Address - Fax:559-627-4379
Is Sole Proprietor?:No
Enumeration Date:2020-03-05
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95014102363L00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1518049733OtherNPI