Basic Information
| Provider Information | |||||||||
| NPI: | 1629486618 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SINGH | ||||||||
| FirstName: | NARINDER | ||||||||
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| Mailing Information | |||||||||
| Address1: | DEPT 25496 | ||||||||
| Address2: | |||||||||
| City: | PASADENA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 911850001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2094687836 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1414 N CALIFORNIA ST STE A | ||||||||
| Address2: | |||||||||
| City: | STOCKTON | ||||||||
| State: | CA | ||||||||
| PostalCode: | 952021515 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2094686820 | ||||||||
| FaxNumber: | 2094682321 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/23/2014 | ||||||||
| LastUpdateDate: | 01/12/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/12/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | MD-458870 | PA | N | Allopathic & Osteopathic Physicians | Pediatrics | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 208000000X | A171569 | CA | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.