Provider Demographics
NPI:1740840479
Name:SINGH, SUKHJINDER
Entity type:Individual
Prefix:
First Name:SUKHJINDER
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 1:27373 ARLA ST
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92555-4945
Mailing Address - Country:US
Mailing Address - Phone:909-518-9699
Mailing Address - Fax:951-924-2122
Practice Address - Street 1:27700 AVENIDA BELLEZA
Practice Address - Street 2:
Practice Address - City:CATHEDRAL CITY
Practice Address - State:CA
Practice Address - Zip Code:92234-5519
Practice Address - Country:US
Practice Address - Phone:909-518-9699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-14
Last Update Date:2019-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker