Basic Information
| Provider Information | |||||||||
| NPI: | 1902337801 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SINGH | ||||||||
| FirstName: | LIVPREET | ||||||||
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| Mailing Information | |||||||||
| Address1: | 971 LANE AVE | ||||||||
| Address2: | |||||||||
| City: | CHULA VISTA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 919143501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6195027300 | ||||||||
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| Practice Location | |||||||||
| Address1: | 971 LANE AVE | ||||||||
| Address2: | |||||||||
| City: | CHULA VISTA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 919143501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6195027300 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/22/2017 | ||||||||
| LastUpdateDate: | 08/11/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/11/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 208000000X | 20A18208 | CA | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.