Provider Demographics
NPI:1578093761
Name:SINGH, SITALBEN
Entity Type:Individual
Prefix:MRS
First Name:SITALBEN
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27049 STRATFORD ST
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:CA
Mailing Address - Zip Code:92346-3055
Mailing Address - Country:US
Mailing Address - Phone:909-913-7845
Mailing Address - Fax:
Practice Address - Street 1:27049 STRATFORD ST
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:CA
Practice Address - Zip Code:92346-3055
Practice Address - Country:US
Practice Address - Phone:909-913-7845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAD3170410343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA82-1804180OtherNON EMERGENCY MEDICAL TRANSPORTATION