Provider Demographics
NPI:1194495531
Name:SINGH, ROBIN (OD)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1161 DOMINIQUE DR
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95304-5878
Mailing Address - Country:US
Mailing Address - Phone:510-449-2545
Mailing Address - Fax:
Practice Address - Street 1:2321 W MARCH LN STE A
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-5265
Practice Address - Country:US
Practice Address - Phone:510-449-2545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-16
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program