Lyass, Sergey

Lyass, Sergey is an sole proprietor health care provider with primary practice located at 8631 W 3Rd St 900, Los Angeles CA 90048-5901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Lyass, Sergey can be contacted via phone (310) 623-1786.

Contact Information

Primary practice address
8631 W 3Rd St 900 Los Angeles CA 90048-5901
Phone: (310) 623-1786
Fax: (310) 623-1922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A80181 California

Profile Details

NPI number 1316996911
LBN Legal business name Lyass, Sergey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2006
Last updated Oct 23rd, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316996911 NPPES
California Other 11542441 CAQH ID#

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