Provider Demographics
NPI:1881653285
Name:KUMAR, PRATIBHA SINGHAL (MD)
Entity Type:Individual
Prefix:DR
First Name:PRATIBHA
Middle Name:SINGHAL
Last Name:KUMAR
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:638 LINDERO CANYON RD
Mailing Address - Street 2:SUITE 244
Mailing Address - City:OAK PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91377-5457
Mailing Address - Country:US
Mailing Address - Phone:818-597-1870
Mailing Address - Fax:818-597-8818
Practice Address - Street 1:43839 15TH ST W
Practice Address - Street 2:SUITE 103
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-4756
Practice Address - Country:US
Practice Address - Phone:661-945-5984
Practice Address - Fax:661-951-3242
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-23
Last Update Date:2016-09-21
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Provider Licenses
StateLicense IDTaxonomies
CAF32346207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF32346Medicare UPIN
CAWA40351TMedicare ID - Type Unspecified