Healthcare Provider Details

I. General information

NPI: 1316175649
Provider Name (Legal Business Name): GEORGE ARDON SINGER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2009
Last Update Date: 07/27/2022
Certification Date: 07/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W CARSON ST BOX 42
TORRANCE CA
90502-2004
US

IV. Provider business mailing address

1000 W CARSON ST BOX 42
TORRANCE CA
90502-2004
US

V. Phone/Fax

Practice location:
  • Phone: 310-222-1912
  • Fax: 310-320-8968
Mailing address:
  • Phone: 310-222-1912
  • Fax: 310-320-8968

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number060701
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA141337
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number003816
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License Number060701
License Number StateCA
# 5
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number125056994
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: