Basic Information
Provider Information
NPI: 1396797080
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SINOW
FirstName: ROBERT
MiddleName: M.
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 21840 SOUTH NORMANDIE AVENUE
Address2: HARBOR-UCLA MEDICAL FOUNDATION BLDG., SUITE 100
City: TORRANCE
State: CA
PostalCode: 90502
CountryCode: US
TelephoneNumber: 3102225189
FaxNumber: 3103757192
Practice Location
Address1: HARBOR-UCLA MEDICAL FOUNDATION
Address2: 21840 S. NORMANDIE AVENUE, SUITE 100
City: TORRANCE
State: CA
PostalCode: 90502
CountryCode: US
TelephoneNumber: 3102225189
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/17/2006
LastUpdateDate: 08/28/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085U0001XG50754CAY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound

No ID Information.


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