=====================================================
General NPI Number Information
=====================================================
NPI Number | 1255011326
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AMERICAN EXPERT DOCTORS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/24/2023
-----------------------------------------------------
Last Update Date | 07/24/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5763 STEVENSON BLVD
-----------------------------------------------------
City | NEWARK
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94560-5301
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 510-650-8125
-----------------------------------------------------
Fax | 510-656-5704
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5763 STEVENSON BLVD
-----------------------------------------------------
City | NEWARK
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94560-5301
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 510-650-8125
-----------------------------------------------------
Fax | 510-656-5704
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | PARMJIT SINGH
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 510-650-8125
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QU0200X
-----------------------------------------------------
Taxonomy Name | Urgent Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------