MEDICARE: DR. TULIN SINJAR MD

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	207Q00000X	Family Medicine Physician	A115799	CA

General Provider Information

NPI Number	:	1568730505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TULIN SINJAR MD

Provider Business Mailing Address
First Line	:	3055 W RAMSEY ST
Second Line	:
City	:	BANNING
State	:	CA
Zip	:	92220-3781
Country	:	US
Telephone Number	:	951-849-6794
Fax Number	:	951-849-0060

Provider Business Practice Location Address
First Line	:	651 N STATE ST
Second Line	:
City	:	SAN JACINTO
State	:	CA
Zip	:	92583-6573
Country	:	US
Telephone Number	:	951-487-8506
Fax Number	:

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

Provider Enumeration Date	:	12/05/2011
Last Update Date	:	04/14/2021

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