Provider Demographics
NPI:1164642526
Name:SINGH, RANBIR (MD)
Entity Type:Individual
Prefix:DR
First Name:RANBIR
Middle Name:
Last Name:SINGH
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 1:27420 TOURNEY RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-5601
Mailing Address - Country:US
Mailing Address - Phone:661-298-7423
Mailing Address - Fax:661-298-7423
Practice Address - Street 1:27420 TOURNEY RD
Practice Address - Street 2:SUITE 210
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-5601
Practice Address - Country:US
Practice Address - Phone:661-298-7423
Practice Address - Fax:661-298-7423
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2020-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA40255208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOOA40255OMedicaid
CAOOA40255OMedicaid
CAW21938Medicare PIN
CAA40255Medicare ID - Type Unspecified
CAWA40255EMedicare PIN