| Doctor Name: | MR. BALRAJ SINGH KHEHRA |
| NPI Number: | 1821143264 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | PT29052 |
| Business Practice Address: | 2390 E Florida Ave #108 Hemet, CA - 925444707 |
| Business Phone Number: | 9517651333 |
| Business Fax Number: | 9517651444 |
| Mailing Address: | 16270 Heritage Grove Rd, RIVERSIDE |
| State: | CA |
| Postal Code: | 925045221 |
| Phone Number: | 9512378304 |
| Fax Number: | 9517775399 |
| NPI Enumeration Date: | 01/24/2007 |
| NPI Last Update Date: | 04/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | PT29052 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |