Healthcare Provider Details

I. General information

NPI: 1750290904
Provider Name (Legal Business Name): SASBINDAR SINGH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7309 BAYOAK WAY
CITRUS HEIGHTS CA
95621-1305
US

IV. Provider business mailing address

19871 EAST ST
WOODLAND CA
95776-9301
US

V. Phone/Fax

Practice location:
  • Phone: 530-383-9250
  • Fax:
Mailing address:
  • Phone: 530-383-9250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: