Basic Information
| Provider Information | |||||||||
| NPI: | 1003016452 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SINGH | ||||||||
| FirstName: | KAMALDEEP | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 320 SUPERIOR AVE | ||||||||
| Address2: | SUITE 350 | ||||||||
| City: | NEWPORT BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926632716 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9495481188 | ||||||||
| FaxNumber: | 9495481177 | ||||||||
| Practice Location | |||||||||
| Address1: | 320 SUPERIOR AVE | ||||||||
| Address2: | SUITE 350 | ||||||||
| City: | NEWPORT BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926632716 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9495481188 | ||||||||
| FaxNumber: | 9495481177 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/24/2007 | ||||||||
| LastUpdateDate: | 07/30/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111NR0400X | 30624 | CA | Y | Chiropractic Providers | Chiropractor | Rehabilitation |
No ID Information.