Provider Demographics
NPI:1366521825
Name:GULERIA, PUSHPINDER S (MD)
Entity type:Individual
Prefix:DR
First Name:PUSHPINDER
Middle Name:S
Last Name:GULERIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:PAUL
Other - Middle Name:
Other - Last Name:GULERIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 6
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-0006
Mailing Address - Country:US
Mailing Address - Phone:760-323-6881
Mailing Address - Fax:760-323-6537
Practice Address - Street 1:12550 HESPERIA RD STE 100
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-5873
Practice Address - Country:US
Practice Address - Phone:760-381-7705
Practice Address - Fax:760-843-5416
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA76268207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A762680Medicaid
CAG72108Medicare UPIN
CA00A762680Medicare ID - Type Unspecified