Active NPI
Puneet K Chahal, M.D. Inc
- Infectious Disease Physician
- Garden Grove, CA
National Provider Identifier
1073819710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- A88986
- Legal business name
- PUNEET K CHAHAL, M.D. INC
- Practice address
- 12555 Garden Grove Blvd
#405
Garden Grove, CA 92843-1902 - Phone
- (714) 530-8042
- NPI assigned
- Jan 27, 2011
- Last updated
- Jan 27, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Puneet K Chahal, MD
- Title
- President
- Phone
- (714) 530-8042
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | A88986 | CA | Primary |
Addresses
Primary practice location
12555 Garden Grove Blvd
#405
Garden Grove, CA 92843-1902
Mailing address
12555 Garden Grove Blvd
#405
Garden Grove, CA 92843-1902
Phone (714) 530-8042
National Provider Directory
National Provider DirectoryLocations
720 N Tustin Ave
Ste 201
Santa Ana, CA 92705
Phone (714) 541-3570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296086400000",
"number": "1073819710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12555 GARDEN GROVE BLVD",
"address_2": "#405",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928431902",
"telephone_number": "714-530-8042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12555 GARDEN GROVE BLVD",
"address_2": "#405",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928431902",
"telephone_number": "714-530-8042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUNEET K CHAHAL, M.D. INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-27",
"last_updated": "2011-01-27",
"status": "A",
"authorized_official_last_name": "CHAHAL",
"authorized_official_first_name": "PUNEET",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-530-8042",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "CA",
"license": "A88986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.