Healthcare Provider Details

I. General information

NPI: 1205862000
Provider Name (Legal Business Name): JEROME LAWRENCE SINSKY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 N ELM ST STE 203
ESCONDIDO CA
92025-3431
US

IV. Provider business mailing address

384 CYPRESS CREST TER
ESCONDIDO CA
92025-6646
US

V. Phone/Fax

Practice location:
  • Phone: 760-746-1162
  • Fax:
Mailing address:
  • Phone: 760-746-1162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberG44083
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: