Surjit K. Kahlon, M.D., Professional Corp.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A31422 Issued in CA

Legal business name

SURJIT K. KAHLON, M.D., PROFESSIONAL CORP.

Practice address

630 N 13TH Ave
Suite B
Upland, CA 91786-4975

Phone

(909) 982-2719

Fax

(909) 946-9931

NPI assigned

May 24, 2007

Last updated

Jun 1, 2015By 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

Maddy Cortez

Title

Office Manager

Phone

(909) 982-2719

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1700097862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N 13TH AVE",
            "address_2": "SUITE B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864975",
            "telephone_number": "909-982-2719",
            "fax_number": "909-946-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N 13TH AVE",
            "address_2": "SUITE B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864975",
            "telephone_number": "909-982-2719",
            "fax_number": "909-946-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURJIT K. KAHLON, M.D., PROFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "CORTEZ",
        "authorized_official_first_name": "MADDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-982-2719"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A31422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700097862",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Upland, CA
• Providers in Upland, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.