Provider Demographics
NPI:1134128556
Name:SINGERMAN, CARL LESTER (MD)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:LESTER
Last Name:SINGERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 571112
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91357-1112
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:818-881-3233
Practice Address - Street 1:18300 ROSCOE BLVD
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91325-4105
Practice Address - Country:US
Practice Address - Phone:818-700-2336
Practice Address - Fax:818-881-3233
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-18
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA25329207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1902108293Medicaid
CAOOA253290Medicaid
CAOOA253290Medicaid
CAEO696AMedicare PIN
CA1902108293Medicaid
CAEU670ZMedicare PIN
CA1902108293Medicaid