Healthcare Provider Details

I. General information

NPI: 1063926731
Provider Name (Legal Business Name): PSYCHIATRIC CARE FOR SENIORS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2017
Last Update Date: 11/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 LA CASA VIA STE 205
WALNUT CREEK CA
94598-3017
US

IV. Provider business mailing address

4101 DUBLIN BLVD STE F
DUBLIN CA
94568-4603
US

V. Phone/Fax

Practice location:
  • Phone: 925-291-7295
  • Fax: 866-284-3572
Mailing address:
  • Phone: 925-451-8599
  • Fax: 866-284-3572

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: KULWINDER SINGH
Title or Position: PRESIDENT
Credential: MD
Phone: 925-291-7295