Healthcare Provider Details

I. General information

NPI: 1831446657
Provider Name (Legal Business Name): KULWINDER SINGH MD, CALIFORNIA CENTER OF HEALTHY AGING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2012
Last Update Date: 08/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2079 NORSE DR #96
PLEASANT HILL CA
94523-1871
US

IV. Provider business mailing address

2079 NORSE DR #96
PLEASANT HILL CA
94523-1871
US

V. Phone/Fax

Practice location:
  • Phone: 925-451-8599
  • Fax:
Mailing address:
  • Phone: 925-451-8599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: KULWINDER SINGH
Title or Position: OWNER, PHYSICIAN
Credential: M.D.
Phone: 925-451-8599