Basic Information
Provider Information
NPI: 1659579340
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SOHI
FirstName: AMARJIT
MiddleName: SINGH
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 15633 PISTACHIO ST
Address2:  
City: CHINO HILLS
State: CA
PostalCode: 917093815
CountryCode: US
TelephoneNumber: 9517372683
FaxNumber: 9512732318
Practice Location
Address1: 5TH AND WESTERN AVE
Address2:  
City: NARCO
State: CA
PostalCode: 92860
CountryCode: US
TelephoneNumber: 9512732371
FaxNumber: 9512732318
Other Information
ProviderEnumerationDate: 07/05/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207QA0505XA48785CAY Allopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine

No ID Information.


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