Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081P2900X | Pain Medicine | 56514 | AZ |
NPI | 1407297146 |
---|---|
Provider Name | Jaspreet Singh |
First Address | Palmdale, CA 93551-1432 |
Second Address | Palmdale, CA 93551-1432 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2013 |
Last Update Date | 07/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
393248 | (05) | AZ |