Provider Demographics
NPI:1407886948
Name:SINGLETON, CHRYSTAL (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRYSTAL
Middle Name:
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3410 MCCALL AVE
Mailing Address - Street 2:#115
Mailing Address - City:SELMA
Mailing Address - State:CA
Mailing Address - Zip Code:93662
Mailing Address - Country:US
Mailing Address - Phone:559-891-7390
Mailing Address - Fax:559-891-7393
Practice Address - Street 1:3410 MCCALL AVE
Practice Address - Street 2:#115
Practice Address - City:SELMA
Practice Address - State:CA
Practice Address - Zip Code:93662
Practice Address - Country:US
Practice Address - Phone:559-891-7390
Practice Address - Fax:559-891-7393
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA065522207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A0655220Medicaid
CA00A0655220Medicare ID - Type Unspecified
CA00A0655220Medicaid