Basic Information
Provider Information
NPI: 1467097303
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KALER
FirstName: VANEET
MiddleName: K
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 28708 BAXTER ROAD
Address2: SUITE 410
City: MURRIETA
State: CA
PostalCode: 925633527
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: LOMA LINDA WOUND CARE & HYPERBARIC CENTER
Address2: 28078 BAXTER RD
City: MURRIETA
State: CA
PostalCode: 925631401
CountryCode: US
TelephoneNumber: 9512904000
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/14/2019
LastUpdateDate: 04/24/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/24/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X95013243CAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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