Provider Demographics
NPI:1831298751
Name:SINU-CLEAR INC
Entity Type:Organization
Organization Name:SINU-CLEAR INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:SHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-278-9171
Mailing Address - Street 1:9301 WILSHIRE BLVD STE 506
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-6189
Mailing Address - Country:US
Mailing Address - Phone:310-278-9171
Mailing Address - Fax:310-278-2058
Practice Address - Street 1:9301 WILSHIRE BLVD STE 506
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-6189
Practice Address - Country:US
Practice Address - Phone:310-278-9171
Practice Address - Fax:310-278-2058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA21095207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA82348Medicare UPIN