Healthcare Provider Details

I. General information

NPI: 1922248764
Provider Name (Legal Business Name): CIRCLE MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2009
Last Update Date: 09/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1223 WILSHIRE BLVD SUITE 1511
SANTA MONICA CA
90403-5400
US

IV. Provider business mailing address

1223 WILSHIRE BLVD SUITE 1511
SANTA MONICA CA
90403-5400
US

V. Phone/Fax

Practice location:
  • Phone: 310-526-3150
  • Fax: 310-593-2799
Mailing address:
  • Phone: 310-526-3150
  • Fax: 310-593-2799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code246ZE0600X
TaxonomyElectroneurodiagnostic Specialist/Technologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code247100000X
TaxonomyRadiologic Technologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code2471V0105X
TaxonomyVascular Sonography Radiologic Technologist
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL STEVEN SINEL
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: M.D.
Phone: 562-868-0373