NPI Code Details Logo

NPI 1639045289

NPI 1639045289 : SYBIL PRECISION HEALTH PC : LOS ANGELES, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1639045289
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    SYBIL PRECISION HEALTH PC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/13/2025
-----------------------------------------------------
    Last Update Date     |    10/13/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1550 N EL CENTRO AVE 
-----------------------------------------------------
    City                 |    LOS ANGELES
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90028-6497
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    714-276-7059
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1550 N EL CENTRO AVE APT 710 
-----------------------------------------------------
    City                 |    LOS ANGELES
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90028-7271
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    714-276-7059
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     OLGA  GRYGORYAN 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    714-276-7059
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207VG0400X
-----------------------------------------------------
    Taxonomy Name        |    Gynecology Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.