Basic Information
Provider Information
NPI: 1750303194
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SINGER
FirstName: DAVID
MiddleName: R
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 411 E 10TH ST
Address2: SUITE 105
City: LONG BEACH
State: CA
PostalCode: 908134445
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 411 E 10TH ST
Address2: SUITE 105
City: LONG BEACH
State: CA
PostalCode: 908134445
CountryCode: US
TelephoneNumber: 5624355353
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/24/2006
LastUpdateDate: 09/11/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XG31304CAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


Home