1376762310 NPI number — LISA M ALDANA SINGH SUBSTANCE ABUSE COUN

Table of content: LISA M ALDANA SINGH SUBSTANCE ABUSE COUN (NPI 1376762310)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376762310 NPI number — LISA M ALDANA SINGH SUBSTANCE ABUSE COUN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALDANA SINGH
Provider First Name:
LISA
Provider Middle Name:
M
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
SUBSTANCE ABUSE COUN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ALDANA
Provider Other First Name:
LISA
Provider Other Middle Name:
M
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
SUBSTANCE ABUSE COUN
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1376762310
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/03/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1018 21ST ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BAKERSFIELD
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93301-4709
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
661-861-9967
Provider Business Mailing Address Fax Number:
661-861-0339

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1018 21ST ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93301-4709
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-861-9967
Provider Business Practice Location Address Fax Number:
661-861-0339
Provider Enumeration Date:
04/25/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , with the licence number:  9317-R , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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