Phaguda, Gurpal S

Phaguda, Gurpal S is an individual health care provider with primary practice located at 15462 Main St , Hesperia CA 92345-3318. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Phaguda, Gurpal S can be contacted via phone (760) 949-7000.

Contact Information

Primary practice address
15462 Main St Hesperia CA 92345-3318
Phone: (760) 949-7000
Fax: (760) 949-3123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G71819 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G71819 California

Profile Details

NPI number 1467586537
LBN Legal business name Phaguda, Gurpal S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Oct 21st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467586537 NPPES
California MEDICAID 00G718190

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