Dr Sukhdeep K Grewal M.D.Inc.

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

A52636 Issued in CA

Legal business name

DR SUKHDEEP K GREWAL M.D.INC.

Practice address

2701 S Bristol St
Santa Ana, CA 92704-6201

Phone

(714) 754-5503

NPI assigned

Sep 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sukhdeep K Grewal, M.D.

Title

President

Phone

(949) 500-0198

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270166400000",
    "number": "1104010073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28572",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927998572",
            "telephone_number": "949-500-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 S BRISTOL ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046201",
            "telephone_number": "714-754-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SUKHDEEP K GREWAL M.D.INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2010-04-02",
        "status": "A",
        "authorized_official_last_name": "GREWAL",
        "authorized_official_first_name": "SUKHDEEP",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-500-0198",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "CA",
            "license": "A52636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Psychiatry Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Geriatric Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.