Provider Demographics
NPI:1881756997
Name:SIGH, EDWARD RAY (DC)
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:RAY
Last Name:SIGH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9670 LEWIS AVE
Mailing Address - Street 2:
Mailing Address - City:CALIFORNIA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:93505-6202
Mailing Address - Country:US
Mailing Address - Phone:760-373-7525
Mailing Address - Fax:760-373-7525
Practice Address - Street 1:9300 N LOOP BLVD
Practice Address - Street 2:
Practice Address - City:CALIFORNIA CITY
Practice Address - State:CA
Practice Address - Zip Code:93505-2269
Practice Address - Country:US
Practice Address - Phone:866-767-3851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 28855111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA200409 DC0288550Medicaid