MEDICARE: MRS. BALJIT K. SINGH M.S. R.D.

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	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1851367536
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BALJIT K. SINGH M.S. R.D.

Provider Business Mailing Address
First Line	:	YGNACIO HIGHLANDS #36
Second Line	:	5333 PARK HIGHLANDS BLVD.
City	:	CONCORD
State	:	CA
Zip	:	94521
Country	:	US
Telephone Number	:	925-370-4134
Fax Number	:

Provider Business Practice Location Address
First Line	:	YGNACIO HIGHLANDS #36
Second Line	:	5333 PARK HIGHLANDS BLVD.
City	:	CONCORD
State	:	CA
Zip	:	94521
Country	:	US
Telephone Number	:	925-370-4134
Fax Number	:

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

Provider Enumeration Date	:	02/23/2006
Last Update Date	:	10/06/2009

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