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NPI Code Detail

MEDICARE: CIRCLE MEDICAL GROUP INC

MEDICARE: CIRCLE MEDICAL GROUP INC
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
1207X00000XOrthopaedic Surgery Physician
22471V0105XVascular Sonography Radiologic Technologist
3246ZE0600XElectroneurodiagnostic Specialist/Technologist
4247100000XRadiologic Technologist
5207LP2900XPain Medicine (Anesthesiology) Physician

General Provider Information

NPI Number : 1922248764
Entity Type Code : Organization
Provider Name (Legal Business Name) : CIRCLE MEDICAL GROUP INC
Provider Business Mailing Address
First Line : 1223 WILSHIRE BLVD
Second Line : SUITE 1511
City : SANTA MONICA
State : CA
Zip : 90403-5400
Country : US
Telephone Number : 310-526-3150
Fax Number : 310-593-2799
Provider Business Practice Location Address
First Line : 1223 WILSHIRE BLVD
Second Line : SUITE 1511
City : SANTA MONICA
State : CA
Zip : 90403-5400
Country : US
Telephone Number : 310-526-3150
Fax Number : 310-593-2799
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : DR. MICHAEL STEVEN SINEL
Credential : M.D.
Telephone Number : 562-868-0373
Provider Enumeration Date : 03/05/2009
Last Update Date : 09/14/2010

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