Healthcare Provider Details

I. General information

NPI: 1720479488
Provider Name (Legal Business Name): PARTIK SINGH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2015
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 S WESTLAKE BLVD STE 205
WESTLAKE VILLAGE CA
91361-1992
US

IV. Provider business mailing address

4700 EXCHANGE CT
BOCA RATON FL
33431-4450
US

V. Phone/Fax

Practice location:
  • Phone: 805-495-0551
  • Fax: 805-494-1154
Mailing address:
  • Phone: 561-948-0291
  • Fax: 561-859-0429

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License NumberA185927
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number185927
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: