Jagtar Bhinder

Individual provider Active NPI Case Manager/Care Coordinator · Lathrop, CA

NPI 1982143715 · NPPES record last updated Mar 22, 2022

Key facts

NPI
1982143715
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
134 Roth Rd
Lathrop, CA 95330-9724
Phone
(209) 815-1619
NPI assigned
Feb 13, 2017
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

134 Roth Rd
Lathrop, CA 95330-9724

Mailing address

2108 Dos Passos Way
Modesto, CA 95356-8920
Phone (209) 665-5121

Other providers in Lathrop, CA

All providers in Lathrop, CA · Case Manager/Care Coordinator in California

Sources for this page

Verify at the official NPI Registry.