| Doctor Name: | JASPAL S DHALIWAL |
| NPI Number: | 1093018269 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | A105383 |
| Business Practice Address: | 2801 Santa Maria Way # A Santa Maria, CA - 934552118 |
| Business Phone Number: | 8059389200 |
| Business Fax Number: | |
| Mailing Address: | 2801 Santa Maria Way #a, SANTA MARIA |
| State: | CA |
| Postal Code: | 973041073 |
| Phone Number: | 8059389200 |
| Fax Number: | |
| NPI Enumeration Date: | 12/09/2010 |
| NPI Last Update Date: | 01/31/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A105383 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |