Provider Demographics
NPI:1598933756
Name:TINTO-SINGER, SANDRA ELLEN (LAC)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:ELLEN
Last Name:TINTO-SINGER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:5348 TOPANGA CANYON BLVD
Mailing Address - Street 2:#205
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-1739
Mailing Address - Country:US
Mailing Address - Phone:818-239-6964
Mailing Address - Fax:818-883-8890
Practice Address - Street 1:5348 TOPANGA CANYON BLVD
Practice Address - Street 2:#205
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-1739
Practice Address - Country:US
Practice Address - Phone:818-239-6964
Practice Address - Fax:818-883-8890
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-11
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC12163171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist