Healthcare Provider Details
I. General information
NPI: 1437110731
Provider Name (Legal Business Name): HOWARD S SINGER MD A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/28/2006
Last Update Date: 11/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
23845 MCBEAN PKWY
VALENCIA CA
91355-2001
US
IV. Provider business mailing address
PO BOX 7001
TARZANA CA
91357-7001
US
V. Phone/Fax
- Phone: 661-253-8000
- Fax: 818-715-1722
- Phone: 818-888-7815
- Fax: 818-715-1722
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207LP2900X |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| License Number | G45085 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | G45085 |
| License Number State | CA |
VIII. Authorized Official
Name:
HOWARD
SINGER
Title or Position: DIRECT OWNER
Credential: M.D.
Phone: 818-888-7815