Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | PSY28488 | CA |
Y | 103G00000X | Clinical Psychologist | PSY28488 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY28488 | CA |
N | 103TH0004X | Health Psychologist | PSY28488 | CA |
NPI | 1235670134 |
---|---|
Provider Name | Kulwinder Singh |
First Address | Irvine, CA 92603-3321 |
Second Address | Manhattan Beach, CA 90266-4961 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2017 |
Last Update Date | 13/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
81-4265148 | EMPLOYEE IDENTIFICATION NUMBER (01) | CA |