MEDICARE: MS. GENA M SINGER MHRS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1003916909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. GENA M SINGER MHRS

Provider Business Mailing Address
First Line	:	3020 CHILDRENS WAY
Second Line	:	MC 5018
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-4223
Country	:	US
Telephone Number	:	619-507-7438
Fax Number	:	858-966-8470

Provider Business Practice Location Address
First Line	:	3665 KEARNY VILLA RD
Second Line	:	SUITE 165
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-1953
Country	:	US
Telephone Number	:	619-507-7438
Fax Number	:	858-966-8470

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	03/23/2011

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