Provider Demographics
NPI:1114460045
Name:SINGH-LIMA, DILGIR
Entity Type:Individual
Prefix:
First Name:DILGIR
Middle Name:
Last Name:SINGH-LIMA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10541 CALLE LEE
Mailing Address - Street 2:125
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-2541
Mailing Address - Country:US
Mailing Address - Phone:714-826-2961
Mailing Address - Fax:714-826-2962
Practice Address - Street 1:10541 CALLE LEE
Practice Address - Street 2:125
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-2541
Practice Address - Country:US
Practice Address - Phone:714-826-2961
Practice Address - Fax:714-826-2962
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-26
Last Update Date:2016-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOK46094251X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOK46094OtherLIFE AGENT LICENSE