Provider Demographics
NPI:1063926731
Name:PSYCHIATRIC CARE FOR SENIORS
Entity type:Organization
Organization Name:PSYCHIATRIC CARE FOR SENIORS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KULWINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:925-291-7295
Mailing Address - Street 1:4101 DUBLIN BLVD STE F
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-4603
Mailing Address - Country:US
Mailing Address - Phone:925-451-8599
Mailing Address - Fax:866-284-3572
Practice Address - Street 1:110 LA CASA VIA STE 205
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3017
Practice Address - Country:US
Practice Address - Phone:925-291-7295
Practice Address - Fax:866-284-3572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-16
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Single Specialty