Basic Information
| Provider Information | |||||||||
| NPI: | 1568098556 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LERMAN-SINKOFF | ||||||||
| FirstName: | DOV | ||||||||
| MiddleName: | BERNARD | ||||||||
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| Credential: | MD PHD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 760 WESTWOOD PLAZA | ||||||||
| Address2: | UCLA PSYCH HOUSESTAFF, SUITE 37-384 | ||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 90024 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3108251289 | ||||||||
| FaxNumber: | 5076078781 | ||||||||
| Practice Location | |||||||||
| Address1: | 760 WESTWOOD PLAZA | ||||||||
| Address2: | UCLA PSYCH HOUSESTAFF, SUITE 37-384 | ||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 90024 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3108251289 | ||||||||
| FaxNumber: | 5076078781 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/21/2020 | ||||||||
| LastUpdateDate: | 08/30/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/30/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | PTL4484 | CA | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.