Healthcare Provider Details

I. General information

NPI: 1821768839
Provider Name (Legal Business Name): HARMAN SINGH FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2021
Last Update Date: 10/27/2023
Certification Date: 05/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 WILSHIRE BLVD STE 303
SANTA MONICA CA
90403-5743
US

IV. Provider business mailing address

5983 MAIDU CT
SIMI VALLEY CA
93063-5772
US

V. Phone/Fax

Practice location:
  • Phone: 888-777-1945
  • Fax: 805-413-9099
Mailing address:
  • Phone: 818-585-2493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP95017643
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: