Basic Information
| Provider Information | |||||||||
| NPI: | 1891895587 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KAMBOJ | ||||||||
| FirstName: | AMRITPAL | ||||||||
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| Credential: | MSN/FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1801 W ROMNEYA DR | ||||||||
| Address2: | SUITE 409 | ||||||||
| City: | ANAHEIM | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928011830 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7147728282 | ||||||||
| FaxNumber: | 7147728252 | ||||||||
| Practice Location | |||||||||
| Address1: | 1801 W ROMNEYA DR | ||||||||
| Address2: | SUITE 409 | ||||||||
| City: | ANAHEIM | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928011830 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7147728282 | ||||||||
| FaxNumber: | 7147728252 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/23/2006 | ||||||||
| LastUpdateDate: | 08/14/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | NP16289 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 163W00000X | RN578002 | CA | N | Nursing Service Providers | Registered Nurse |
No ID Information.