Provider Demographics
NPI:1912928672
Name:GUJRAL, SATVINDER KAUR (MD)
Entity Type:Individual
Prefix:DR
First Name:SATVINDER
Middle Name:KAUR
Last Name:GUJRAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:26691 PLAZA DRIVE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691
Mailing Address - Country:US
Mailing Address - Phone:949-364-0225
Mailing Address - Fax:949-364-9014
Practice Address - Street 1:26691 PLAZA DRIVE
Practice Address - Street 2:SUITE 250
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691
Practice Address - Country:US
Practice Address - Phone:949-364-0225
Practice Address - Fax:949-364-9014
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA72955207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A729550OtherBLUE SHIELD
CA00A729550OtherBLUE SHIELD
WA72955CMedicare ID - Type Unspecified