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General NPI Number Information
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NPI Number | 1982767893
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Entity Type | Individual
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Provider Name | BASSAM A SINNO MD
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Gender | Male
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 10/20/2009
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Provider Practice Location Address
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Address Line | 1011 DEVONSHIRE DRIVE
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City | ENCINITAS
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State | CA
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Zip | 92024
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Country | US
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Telephone | 760-633-3139
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Fax | 760-635-5632
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Provider Business Mailing Address
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Address Line | 1011 DEVONSHIRE DRIVE #D
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City | ENCINITAS
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State | CA
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Zip | 92024
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Country | US
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Telephone | 760-942-8426
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Fax | 760-635-5632
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C37831
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License Number State | CA
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