Provider Demographics
NPI:1992862171
Name:LEENA SINGH MD INC
Entity Type:Organization
Organization Name:LEENA SINGH MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:530-342-1310
Mailing Address - Street 1:1488 EAST AVE
Mailing Address - Street 2:SUITE 130
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-1795
Mailing Address - Country:US
Mailing Address - Phone:530-342-1310
Mailing Address - Fax:530-342-1327
Practice Address - Street 1:1488 EAST AVE
Practice Address - Street 2:SUITE 130
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-1795
Practice Address - Country:US
Practice Address - Phone:530-342-1310
Practice Address - Fax:530-342-1327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA90422207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A904220OtherOTHER INSURANCE CARRIERS
CA00A904220Medicaid
CA00A904220Medicaid
CA00A904220Medicare ID - Type UnspecifiedPPIN
CA00A904220OtherOTHER INSURANCE CARRIERS