Kidstrong Medical Group Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

KIDSTRONG MEDICAL GROUP INC.

Practice address

220 Laguna Rd Ste 5
Fullerton, CA 92835-2523

Phone

(714) 879-2980

NPI assigned

Jan 27, 2020

Last updated

Jan 27, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gunjeet Kala Ahluwalia, MDNPI 1427288588

Title

President

Phone

(714) 707-0034

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gunjeet K Kala Ahluwalia, M.D.

  • Pediatrics Physician
  • Fullerton, CA
  • NPI 1427288588
  NPD Authorized official

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1114558350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 SAN MIGUEL DR STE 464",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 LAGUNA RD STE 5",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352523",
            "telephone_number": "714-879-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSTRONG MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "KALA AHLUWALIA",
        "authorized_official_first_name": "GUNJEET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-707-0034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nguyen Thien Phuc Khieu
• Tiffany Khieu, PHARMD
• Farnaz Khodadoost-Dehghi, PH.D.
• Husna Khodayee
• Robert Khzouz, D.D.S.
• Sharon Elaine Kiel, LMFT
• Kristy Kierulff, BA
• Aynur Luna Kilic
• Kim Kyuwan Dental Corporation
• Kim Medical Corporation

• Pediatrics Physician in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.