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JAGMOHAN GHOTRA NP
>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1689032815
Individual Registrant: JAGMOHAN GHOTRA NP
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
26024 OHARA LN STEVENSON RANCH, CA 91381-1109 US
Tel: 661-877-6211 Fax: --
Tel: 661-877-6211 Fax: --
Contact information for business:
26024 OHARA LN STEVENSON RANCH, CA 91381-1109 US
Tel: 661-877-6211 Fax: --
Tel: 661-877-6211 Fax: --
Registration Information:
NPI: 1689032815
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | CA | 95003867 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
