Provider Demographics
NPI:1457552382
Name:SINGH, KAMELJIT KAUR (DC)
Entity Type:Individual
Prefix:DR
First Name:KAMELJIT
Middle Name:KAUR
Last Name:SINGH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19900 BEACH BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-3762
Mailing Address - Country:US
Mailing Address - Phone:714-965-9577
Mailing Address - Fax:714-965-9580
Practice Address - Street 1:19900 BEACH BLVD STE A
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-3762
Practice Address - Country:US
Practice Address - Phone:714-965-9577
Practice Address - Fax:714-965-9580
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30268111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1079658OtherASH PROVIDER ID