MEDICARE: DOV BERNARD LERMAN-SINKOFF MD PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	MED-PHYS-LIC-146390	MT
2	2084P0800X	Psychiatry Physician	A179243	CA

General Provider Information

NPI Number	:	1568098556
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOV BERNARD LERMAN-SINKOFF MD PHD

Provider Business Mailing Address
First Line	:	5767 W CENTURY BLVD STE 400
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-5631
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 MEDICAL PLAZA RM 4217
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90095-5055
Country	:	US
Telephone Number	:	310-825-9989
Fax Number	:	310-267-1908

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2020
Last Update Date	:	05/06/2025

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