Provider Demographics
NPI:1457979221
Name:SINGH, JASWINDER
Entity Type:Individual
Prefix:
First Name:JASWINDER
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1688 CLAYTON RD APT 10
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-3220
Mailing Address - Country:US
Mailing Address - Phone:925-250-6017
Mailing Address - Fax:
Practice Address - Street 1:1688 CLAYTON RD APT 10
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-3220
Practice Address - Country:US
Practice Address - Phone:925-250-6017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-08
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)