Basic Information
| Provider Information | |||||||||
| NPI: | 1376823971 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | KAMALDEEP SINGH CHIROPRACTIC INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10 SPRINGWOOD | ||||||||
| Address2: | |||||||||
| City: | IRVINE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926044602 | ||||||||
| CountryCode: | US | ||||||||
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| 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: | 08/26/2011 | ||||||||
| LastUpdateDate: | 08/26/2011 | ||||||||
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| AuthorizedOfficialLastName: | SINGH | ||||||||
| AuthorizedOfficialFirstName: | KAMALDEEP | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 9495481188 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | D.C. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111NR0400X | DC30624 | CA | Y | 193400000X SINGLE SPECIALTY GROUP | Chiropractic Providers | Chiropractor | Rehabilitation |
No ID Information.