Provider Demographics
NPI:1275995359
Name:SINAI, PEDRAM
Entity Type:Individual
Prefix:
First Name:PEDRAM
Middle Name:
Last Name:SINAI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16661 VENTURA BLVD STE 515
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-1972
Mailing Address - Country:US
Mailing Address - Phone:818-990-4030
Mailing Address - Fax:818-990-4031
Practice Address - Street 1:16661 VENTURA BLVD STE 515
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-1972
Practice Address - Country:US
Practice Address - Phone:818-990-4030
Practice Address - Fax:818-990-4031
Is Sole Proprietor?:No
Enumeration Date:2016-03-28
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD89563207R00000X, 207RS0010X
CA161481207RS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0010XAllopathic & Osteopathic PhysiciansInternal MedicineSports Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine