Healthcare Provider Details

I. General information

NPI: 1285817932
Provider Name (Legal Business Name): ARUN SAYRAM SINGH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2007
Last Update Date: 12/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 SANTA MONICA BLVD STE. 200
SANTA MONICA CA
90404-2429
US

IV. Provider business mailing address

10945 LECONTE AVE 2333
LOS ANGELES CA
90095-0001
US

V. Phone/Fax

Practice location:
  • Phone: 310-829-5471
  • Fax: 310-453-8309
Mailing address:
  • Phone: 310-829-5471
  • Fax: 310-453-8309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberA104027
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA104027
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: