Healthcare Provider Details

I. General information

NPI: 1992805683
Provider Name (Legal Business Name): NARINDAR SINGH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2006
Last Update Date: 03/07/2023
Certification Date: 03/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 N TUSTIN AVE STE 1
SANTA ANA CA
92705-3530
US

IV. Provider business mailing address

PO BOX 15090
ANAHEIM CA
92803-5090
US

V. Phone/Fax

Practice location:
  • Phone: 714-836-6800
  • Fax: 714-836-9966
Mailing address:
  • Phone: 714-577-2124
  • Fax: 714-577-2125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberG31568
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberG31568
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: