Provider Demographics
NPI:1013035369
Name:SINCHAI, MARY BETH L (MD)
Entity Type:Individual
Prefix:
First Name:MARY BETH
Middle Name:L
Last Name:SINCHAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:22 ODYSSEY
Mailing Address - Street 2:270B
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3186
Mailing Address - Country:US
Mailing Address - Phone:949-861-8828
Mailing Address - Fax:949-861-8989
Practice Address - Street 1:22 ODYSSEY
Practice Address - Street 2:270B
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3186
Practice Address - Country:US
Practice Address - Phone:949-861-8828
Practice Address - Fax:949-861-8989
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2021-11-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA104726207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA104726OtherMEDICAL LICENSE
CAA104726OtherMEDICAL LICENSE