Provider Demographics
NPI:1467532515
Name:SANGHA, KULMOHAN SINGH (DC)
Entity Type:Individual
Prefix:DR
First Name:KULMOHAN
Middle Name:SINGH
Last Name:SANGHA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32112 ALVARADO BLVD
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-4000
Mailing Address - Country:US
Mailing Address - Phone:510-796-5555
Mailing Address - Fax:510-796-7044
Practice Address - Street 1:32112 ALVARADO BLVD
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-4000
Practice Address - Country:US
Practice Address - Phone:510-796-5555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2023-01-09
Deactivation Date:2022-10-24
Deactivation Code:
Reactivation Date:2023-01-09
Provider Licenses
StateLicense IDTaxonomies
CADC29001111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAV07588Medicare UPIN