Provider Demographics
NPI:1649814765
Name:MANETTE SINKUS NURSING APC
Entity type:Organization
Organization Name:MANETTE SINKUS NURSING APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE FIRST ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:MANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SINKUS
Authorized Official - Suffix:
Authorized Official - Credentials:RN, RNFA
Authorized Official - Phone:808-779-8669
Mailing Address - Street 1:1700 2ND ST
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-7012
Mailing Address - Country:US
Mailing Address - Phone:808-779-8669
Mailing Address - Fax:
Practice Address - Street 1:21250 HAWTHORNE BLVD STE 435
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503
Practice Address - Country:US
Practice Address - Phone:310-326-2102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-31
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care