Provider Demographics
NPI:1225059546
Name:SINNHUBER, JOHN RUSSELL (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:RUSSELL
Last Name:SINNHUBER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1615 BUNKER HILL WAY STE 100
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93906-6010
Mailing Address - Country:US
Mailing Address - Phone:831-769-1304
Mailing Address - Fax:831-757-0291
Practice Address - Street 1:1441 CONSTITUTION BLVD
Practice Address - Street 2:BLDG. 200, FLOOR ONE, SUITE 101
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906-3100
Practice Address - Country:US
Practice Address - Phone:831-755-4124
Practice Address - Fax:831-759-6595
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2011-03-30
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Provider Licenses
StateLicense IDTaxonomies
CAG26392208000000X, 2080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF90624Medicare UPIN
CAZZZ02040ZMedicare ID - Type UnspecifiedCOUNTY OF MONTEREY GROUP