Provider Demographics
NPI:1053047498
Name:JAISINGH, RAJKUMAR (DDS)
Entity Type:Individual
Prefix:DR
First Name:RAJKUMAR
Middle Name:
Last Name:JAISINGH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7411 EDINGER AVE UNIT 313
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-7837
Mailing Address - Country:US
Mailing Address - Phone:408-887-6350
Mailing Address - Fax:
Practice Address - Street 1:11549 SOUTH ST
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-6627
Practice Address - Country:US
Practice Address - Phone:562-278-1609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-27
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1080601223G0001X
CA77391181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice