Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | A53927 | CA |
NPI | 1245335405 |
---|---|
Provider Name | Anantjit Singh |
First Address | Downey, CA 90241 |
Second Address | Downey, CA 90241 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2006 |
Last Update Date | 02/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F45690 | (02) | |
OOA539270 | BLUE SHIELD (01) | CA |