Healthcare Provider Details

I. General information

NPI: 1255011326
Provider Name (Legal Business Name): AMERICAN EXPERT DOCTORS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2023
Last Update Date: 07/24/2023
Certification Date: 07/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5763 STEVENSON BLVD
NEWARK CA
94560-5301
US

IV. Provider business mailing address

5763 STEVENSON BLVD
NEWARK CA
94560-5301
US

V. Phone/Fax

Practice location:
  • Phone: 510-650-8125
  • Fax: 510-656-5704
Mailing address:
  • Phone: 510-650-8125
  • Fax: 510-656-5704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PARMJIT SINGH
Title or Position: OWNER
Credential: MD
Phone: 510-650-8125