Healthcare Provider Details

I. General information

NPI: 1699688267
Provider Name (Legal Business Name): SONIA SINGH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5741 LAS VIRGENES RD
CALABASAS CA
91302-1272
US

IV. Provider business mailing address

22100 BURBANK BLVD UNIT 226C
WOODLAND HILLS CA
91367-6249
US

V. Phone/Fax

Practice location:
  • Phone: 818-712-8250
  • Fax:
Mailing address:
  • Phone: 424-877-1149
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberEU07V38
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: