Provider Demographics
NPI:1679569743
Name:SINGER, EDWARD L (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:L
Last Name:SINGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:752 MEDICAL CENTER CT
Mailing Address - Street 2:301
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91911-6658
Mailing Address - Country:US
Mailing Address - Phone:619-421-1155
Mailing Address - Fax:619-421-0186
Practice Address - Street 1:752 MEDICAL CENTER CT
Practice Address - Street 2:301
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91911-6658
Practice Address - Country:US
Practice Address - Phone:619-421-1155
Practice Address - Fax:619-421-0186
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-23
Last Update Date:2010-11-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAC35550207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C355500Medicaid
CAC35550Medicare ID - Type Unspecified
CA00C355500Medicaid