Provider Demographics
NPI:1235150772
Name:SINGH, RAVINDER STEVEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:RAVINDER
Middle Name:STEVEN
Last Name:SINGH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:STEVEN
Other - Middle Name:
Other - Last Name:SINGH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:460 LONG BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802-2436
Mailing Address - Country:US
Mailing Address - Phone:562-436-9234
Mailing Address - Fax:562-436-9233
Practice Address - Street 1:460 LONG BEACH BLVD
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802-2436
Practice Address - Country:US
Practice Address - Phone:562-436-9234
Practice Address - Fax:562-436-9233
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA464301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA522302OtherMEDI-CAL PIN