Provider Demographics
NPI:1972495513
Name:TAKHAR, KARMBIR (FNP)
Entity type:Individual
Prefix:
First Name:KARMBIR
Middle Name:
Last Name:TAKHAR
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20231 VILLAGE GREEN DR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90715-1054
Mailing Address - Country:US
Mailing Address - Phone:310-880-1928
Mailing Address - Fax:
Practice Address - Street 1:20231 VILLAGE GREEN DR
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90715-1054
Practice Address - Country:US
Practice Address - Phone:310-880-1928
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAF04250190363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily