Provider Demographics
NPI:1639680796
Name:DEL REY SINUS & ALLERGY INSTITUTE INC
Entity type:Organization
Organization Name:DEL REY SINUS & ALLERGY INSTITUTE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FARHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:SIGARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-695-8627
Mailing Address - Street 1:4927 CALLOWAY DR STE 101
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-9719
Mailing Address - Country:US
Mailing Address - Phone:661-695-8627
Mailing Address - Fax:661-460-9029
Practice Address - Street 1:4927 CALLOWAY DR STE 101
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-9719
Practice Address - Country:US
Practice Address - Phone:661-695-8627
Practice Address - Fax:661-460-9029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-17
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA112988207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty