Healthcare Provider Details

I. General information

NPI: 1518962190
Provider Name (Legal Business Name): DEBRA BETH SINGER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2005
Last Update Date: 05/31/2023
Certification Date: 05/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 WASHINGTON ST STE 300
SAN DIEGO CA
92103-2227
US

IV. Provider business mailing address

550 WASHINGTON ST STE 300
SAN DIEGO CA
92103-2227
US

V. Phone/Fax

Practice location:
  • Phone: 619-297-5437
  • Fax: 619-243-0722
Mailing address:
  • Phone: 619-297-5437
  • Fax: 619-243-0722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD2007-0643
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number31040
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberG177330
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: