Provider Demographics
NPI:1013888106
Name:SINGH, KRYSTAL MELESSIA (DOULA)
Entity type:Individual
Prefix:
First Name:KRYSTAL
Middle Name:MELESSIA
Last Name:SINGH
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19510 VAN BUREN BLVD
Mailing Address - Street 2:STE F3 PMB 152
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92508
Mailing Address - Country:US
Mailing Address - Phone:951-712-5031
Mailing Address - Fax:
Practice Address - Street 1:1300 MOUNT DIABLO ST
Practice Address - Street 2:
Practice Address - City:PERRIS
Practice Address - State:CA
Practice Address - Zip Code:92570-1824
Practice Address - Country:US
Practice Address - Phone:951-712-5031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-13
Last Update Date:2025-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No172V00000XOther Service ProvidersCommunity Health Worker
No174H00000XOther Service ProvidersHealth Educator
No183700000XPharmacy Service ProvidersPharmacy Technician