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General NPI Number Information
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NPI Number | 1457812349
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Entity Type | Individual
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Provider Name | SHAM WEN SINGH MD
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Gender | Male
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Dates
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Enumeration Date | 03/25/2019
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Last Update Date | 02/15/2024
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Provider Practice Location Address
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Address Line | 811 W 7TH STREET SUITE 1200 OFFICE 1048
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City | LOS ANGELES
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State | CA
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Zip | 90017-3408
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Country | US
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Telephone | 310-430-7324
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Fax | 310-430-7324
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Provider Business Mailing Address
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Address Line | 924 3RD ST APT 203
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City | SANTA MONICA
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State | CA
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Zip | 90403-2551
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Country | US
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Telephone | 510-673-8240
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 177716
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A177716
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License Number State | CA
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