Basic Information
Provider Information
NPI: 1740325695
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NARANG
FirstName: DAVID
MiddleName: SINGH
NamePrefix: DR.
NameSuffix:  
Credential: PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 11347 NEBRASKA AVE
Address2: APT. 209
City: LOS ANGELES
State: CA
PostalCode: 900256716
CountryCode: US
TelephoneNumber: 3104150892
FaxNumber:  
Practice Location
Address1: 1000 GOODRICH BLVD
Address2: ENKI YOUTH AND FAMILY SERVICES
City: LOS ANGELES
State: CA
PostalCode: 900225103
CountryCode: US
TelephoneNumber: 3238329795
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/20/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TC2200XPSY18716CAY Behavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent

ID Information
IDTypeStateIssuerDescription
ENK121001CAL.A. COUNTY MENTAL HEALTHOTHER


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