Provider Demographics
NPI:1033765979
Name:SEMBIRING, HARSIMRAN K
Entity type:Individual
Prefix:
First Name:HARSIMRAN
Middle Name:K
Last Name:SEMBIRING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19600 LEADWELL ST
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-2434
Mailing Address - Country:US
Mailing Address - Phone:818-741-6497
Mailing Address - Fax:
Practice Address - Street 1:19600 LEADWELL ST
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-2434
Practice Address - Country:US
Practice Address - Phone:818-741-6497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-15
Last Update Date:2024-10-07
Deactivation Date:2023-12-20
Deactivation Code:
Reactivation Date:2024-10-07
Provider Licenses
StateLicense IDTaxonomies
CA28954235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist