Provider Demographics
NPI:1457134611
Name:GAGANDEEP BAL CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:GAGANDEEP BAL CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:GAGANDEEP
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:BAL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:661-940-6302
Mailing Address - Street 1:1650 W AVENUE J
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-2814
Mailing Address - Country:US
Mailing Address - Phone:661-940-6302
Mailing Address - Fax:
Practice Address - Street 1:1650 W AVENUE J
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-2814
Practice Address - Country:US
Practice Address - Phone:661-940-6302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-14
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty