MEDICARE: GURCHET SINGH

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	343900000X	Non-emergency Medical Transport (VAN)	2300173526	CA

General Provider Information

NPI Number	:	1821715822
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GURCHET SINGH

Provider Business Mailing Address
First Line	:	4604 CIMARRON RIDGE DR
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93313-5549
Country	:	US
Telephone Number	:	661-444-7666
Fax Number	:

Provider Business Practice Location Address
First Line	:	4604 CIMARRON RIDGE DR
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93313-5549
Country	:	US
Telephone Number	:	661-444-7666
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2022
Last Update Date	:	10/20/2022

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