Healthcare Provider Details

I. General information

NPI: 1265293690
Provider Name (Legal Business Name): JASLEEN SINGH MD PROFESSIONAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2024
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35193 AVE A STE A
YUCAIPA CA
92399-4366
US

IV. Provider business mailing address

35193 AVE A STE A
YUCAIPA CA
92399-4366
US

V. Phone/Fax

Practice location:
  • Phone: 951-951-2762
  • Fax: 833-764-3695
Mailing address:
  • Phone: 951-951-2762
  • Fax: 833-764-3695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JASLEEN SINGH
Title or Position: OWNER
Credential: MD
Phone: 951-951-2762