Healthcare Provider Details

I. General information

NPI: 1689394686
Provider Name (Legal Business Name): P SINAI MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2022
Last Update Date: 08/30/2022
Certification Date: 08/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16661 VENTURA BLVD STE 515
ENCINO CA
91436-1972
US

IV. Provider business mailing address

16661 VENTURA BLVD STE 515
ENCINO CA
91436-1972
US

V. Phone/Fax

Practice location:
  • Phone: 818-990-4030
  • Fax:
Mailing address:
  • Phone: 818-990-4030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0010X
TaxonomySports Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: PEDRAM SINAI
Title or Position: PROVIDER
Credential: MD
Phone: 818-679-7343