Healthcare Provider Details

I. General information

NPI: 1922191493
Provider Name (Legal Business Name): FRANK RAYMOND SINATRA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4650 SUNSET BLVD
LOS ANGELES CA
90027-6062
US

IV. Provider business mailing address

6430 SUNSET BLVD SUITE 600
LOS ANGELES CA
90028-7900
US

V. Phone/Fax

Practice location:
  • Phone: 323-669-2181
  • Fax: 323-664-0718
Mailing address:
  • Phone: 323-669-2337
  • Fax: 323-644-8488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License NumberG23609
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: