Healthcare Provider Details

I. General information

NPI: 1396797080
Provider Name (Legal Business Name): ROBERT M. SINOW M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 08/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HARBOR-UCLA MEDICAL FOUNDATION 21840 S. NORMANDIE AVENUE, SUITE 100
TORRANCE CA
90502
US

IV. Provider business mailing address

21840 SOUTH NORMANDIE AVENUE HARBOR-UCLA MEDICAL FOUNDATION BLDG., SUITE 100
TORRANCE CA
90502
US

V. Phone/Fax

Practice location:
  • Phone: 310-222-5189
  • Fax:
Mailing address:
  • Phone: 310-222-5189
  • Fax: 310-375-7192

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License NumberG50754
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: