Healthcare Provider Details

I. General information

NPI: 1770869570
Provider Name (Legal Business Name): NAVNISH N. SINGH LVN, LPT, CPHT.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2011
Last Update Date: 10/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

438 N WHITE RD
SAN JOSE CA
95127-1439
US

IV. Provider business mailing address

438 N WHITE RD
SAN JOSE CA
95127-1439
US

V. Phone/Fax

Practice location:
  • Phone: 510-429-8382
  • Fax:
Mailing address:
  • Phone: 510-429-8382
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License NumberVN259767
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: