Provider Demographics
NPI:1841419504
Name:AMRIT SINGH MD INC
Entity Type:Organization
Organization Name:AMRIT SINGH MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMRIT
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-809-6585
Mailing Address - Street 1:21500 PIONEER BLVD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:HAWAIIAN GARDENS
Mailing Address - State:CA
Mailing Address - Zip Code:90716-2600
Mailing Address - Country:US
Mailing Address - Phone:562-809-6585
Mailing Address - Fax:562-809-4995
Practice Address - Street 1:21500 PIONEER BLVD
Practice Address - Street 2:SUITE 207
Practice Address - City:HAWAIIAN GARDENS
Practice Address - State:CA
Practice Address - Zip Code:90716-2600
Practice Address - Country:US
Practice Address - Phone:562-809-6585
Practice Address - Fax:562-809-4995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA25844207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A258440Medicaid
CA=========OtherTAX ID
CAA24599Medicare UPIN
CA00A258440Medicaid