Provider Demographics
NPI:1760402762
Name:SINEL, MICHAEL STEVEN (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:STEVEN
Last Name:SINEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1223 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 1511
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-5400
Mailing Address - Country:US
Mailing Address - Phone:310-393-2225
Mailing Address - Fax:310-593-2843
Practice Address - Street 1:1441 BROADWAY
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2711
Practice Address - Country:US
Practice Address - Phone:310-393-2225
Practice Address - Fax:310-593-2843
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG656922081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G65692COtherMEDICAL PPIN #
CAE90350Medicare UPIN
CAG65692BMedicare PIN