Provider Demographics
NPI:1184516197
Name:AUJLA, JEEVANSONIA
Entity type:Individual
Prefix:
First Name:JEEVANSONIA
Middle Name:
Last Name:AUJLA
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 1:12050 GUERIN ST PH 1
Mailing Address - Street 2:
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-4748
Mailing Address - Country:US
Mailing Address - Phone:747-304-0113
Mailing Address - Fax:
Practice Address - Street 1:12050 GUERIN ST PH 1
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-4748
Practice Address - Country:US
Practice Address - Phone:747-304-0113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-16
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program