Provider Demographics
NPI:1053518290
Name:FAYSSOUX, KULWINDER KAUR (MD)
Entity type:Individual
Prefix:MRS
First Name:KULWINDER
Middle Name:KAUR
Last Name:FAYSSOUX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KINDER
Other - Middle Name:KAUR
Other - Last Name:FAYSSOUX
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:45280 SEELEY DR
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:LA QUINTA
Mailing Address - State:CA
Mailing Address - Zip Code:92253-6834
Mailing Address - Country:US
Mailing Address - Phone:760-834-7920
Mailing Address - Fax:760-834-7921
Practice Address - Street 1:45280 SEELEY DR
Practice Address - Street 2:2ND FLOOR
Practice Address - City:LA QUINTA
Practice Address - State:CA
Practice Address - Zip Code:92253-6834
Practice Address - Country:US
Practice Address - Phone:760-834-7920
Practice Address - Fax:760-834-7921
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA106709207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine