MEDICARE: MALA SINGH,D.O.,INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	20A9476	CA

General Provider Information

NPI Number	:	1316030653
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MALA SINGH,D.O.,INC

Provider Business Mailing Address
First Line	:	72301 COUNTRY CLUB DR
Second Line	:	SUITE 106
City	:	RANCHO MIRAGE
State	:	CA
Zip	:	92270-8007
Country	:	US
Telephone Number	:	760-568-5323
Fax Number	:	760-568-5425

Provider Business Practice Location Address
First Line	:	72301 COUNTRY CLUB DR
Second Line	:	SUITE 106
City	:	RANCHO MIRAGE
State	:	CA
Zip	:	92270-8007
Country	:	US
Telephone Number	:	760-568-5323
Fax Number	:	760-568-5425

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MALA SINGH
Credential	:	D.O.
Telephone Number	:	760-568-5323

Provider Enumeration Date	:	09/30/2006
Last Update Date	:	08/22/2020

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