Healthcare Provider Details

I. General information

NPI: 1447181128
Provider Name (Legal Business Name): MR. DAVID A SIGLER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1340 E ROUTE 66 STE 106
GLENDORA CA
91740-3783
US

IV. Provider business mailing address

325 FLAGSTAFF ST
SAN DIMAS CA
91773-1938
US

V. Phone/Fax

Practice location:
  • Phone: 626-263-5543
  • Fax:
Mailing address:
  • Phone: 562-336-9224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number25358
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: