Provider Demographics
NPI:1003016452
Name:SINGH, KAMALDEEP (DC)
Entity Type:Individual
Prefix:DR
First Name:KAMALDEEP
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 SUPERIOR AVE
Mailing Address - Street 2:SUITE 350
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-2716
Mailing Address - Country:US
Mailing Address - Phone:949-548-1188
Mailing Address - Fax:949-548-1177
Practice Address - Street 1:320 SUPERIOR AVE
Practice Address - Street 2:SUITE 350
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-2716
Practice Address - Country:US
Practice Address - Phone:949-548-1188
Practice Address - Fax:949-548-1177
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-24
Last Update Date:2011-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30624111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation