MEDICARE: FAIR LLC

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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1639036940
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAIR LLC

Provider Business Mailing Address
First Line	:	1434 10TH ST APT 10
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90401-2815
Country	:	US
Telephone Number	:	310-773-6627
Fax Number	:

Provider Business Practice Location Address
First Line	:	1434 10TH ST APT 10
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90401-2815
Country	:	US
Telephone Number	:	310-773-6627
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	VALENTIN SINITCKII
Credential	:
Telephone Number	:	213-509-8009

Provider Enumeration Date	:	01/07/2026
Last Update Date	:	02/05/2026

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Directions to “FAIR LLC ” Practice Location

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