Provider Demographics
NPI:1568724425
Name:GHAHRAMANI-SINGH, TINA (LAC)
Entity Type:Individual
Prefix:
First Name:TINA
Middle Name:
Last Name:GHAHRAMANI-SINGH
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24641 STRATTON LN
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-2180
Mailing Address - Country:US
Mailing Address - Phone:949-444-7131
Mailing Address - Fax:
Practice Address - Street 1:24641 STRATTON LN
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-2180
Practice Address - Country:US
Practice Address - Phone:949-444-7131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-15
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC14900171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist