Healthcare Provider Details

I. General information

NPI: 1740325695
Provider Name (Legal Business Name): DAVID SINGH NARANG PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 GOODRICH BLVD ENKI YOUTH AND FAMILY SERVICES
LOS ANGELES CA
90022-5103
US

IV. Provider business mailing address

11347 NEBRASKA AVE APT. 209
LOS ANGELES CA
90025-6716
US

V. Phone/Fax

Practice location:
  • Phone: 323-832-9795
  • Fax:
Mailing address:
  • Phone: 310-415-0892
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPSY18716
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: